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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

NPI Number 1568239036
LBN Legal business name CEP AMERICA ILLINOIS INTENSIVISTS
Authorized official DAVID BIRDSALL - (ADMINISTRATIVE VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2023
Last updated 12/05/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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