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Contact Information

CEP AMERICA ILLINOIS INTENSIVISTS
1800 E LAKE SHORE DR
DECATUR, IL62521-3810
 Phone: 217-464-2966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CEP AMERICA ILLINOIS INTENSIVISTS · (Female)

NPI # 1568239036
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2023
Last updated 12/05/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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