| Pc Associates Llc | |
|
205 East Belleville Street Okawville IL 62271 | |
| (618) 327-8119 | |
| (618) 327-8141 |
| Full Name | Pc Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 East Belleville Street, Okawville, Illinois |
| Authorized Official Name and Position | James B. Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6182574644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pc Associates Llc 4500 Memorial Dr Medical Affairs Credentialing Office Belleville IL 62226-5360 Ph: (618) 257-4644 | Pc Associates Llc 205 East Belleville Street Okawville IL 62271 Ph: (618) 327-8119 |
| NPI Number | 1194086157 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194086157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036052179 (Illinois) | Primary |
Crossroads Family Medicine Of Okawville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Belleville, Okawville, IL 62271 Phone: 618-243-5151 Fax: 618-243-5220 |