| PC Associates, LLC | |
|
1414 Cross St Ste 230 Shiloh IL 62269-2988 | |
| (618) 624-6181 | |
| (618) 624-7172 |
| Full Name | PC Associates, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 Cross St Ste 230, Shiloh, 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 Belleville IL 62226-5360 Ph: (618) 257-4644 | PC Associates, LLC 1414 Cross St Ste 230 Shiloh IL 62269-2988 Ph: (618) 624-6181 |
| NPI Number | 1881117125 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881117125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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