Cepamerica Illinois LLP

Organization Active NPI Emergency Medicine Physician · Litchfield, IL

NPI 1144097627 · NPPES record last updated Dec 5, 2023

Key facts

NPI
1144097627
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CEPAMERICA ILLINOIS LLP
Practice address
1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone
(217) 324-2191
NPI assigned
Dec 5, 2023
Organization subpart
No

Authorized official

Name
David Birdsall, MD
Title
Administrative VP of Operations
Phone
(510) 350-2600

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120322000587 IL Part B Supplier - Clinic/Group Practice 3274793633 Receives reassigned benefits from 1,241 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elk Grove Village, IL; Evanston, IL; Greenville, IL; Highland, IL; Hoffman Estates, IL; Joliet, IL; Kankakee, IL; Libertyville, IL…

National Provider Directory

Tax ID family
Cepamerica Illinois LLP (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

1215 Franciscan Dr
Litchfield, IL 62056-1778

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 851-7501

Other providers in Litchfield, IL

All providers in Litchfield, IL · Emergency Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.