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PC Associates LLC

Organization Active NPI Internal Medicine Physician · O'Fallon, IL

NPI 1235452855 · NPPES record last updated Jul 29, 2014

Key facts

NPI
1235452855
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
036053136 (IL)
Legal business name
PC ASSOCIATES LLC
Practice address
310 North Seven Hills Road
O'Fallon, IL 62269
Phone
(618) 624-6181
Fax
(618) 622-2593
NPI assigned
Mar 10, 2010
Organization subpart
No

Authorized official

Name
Mr. James B. Davis, FACHE, MBA, MHSA
Title
Executive Director
Phone
(618) 257-6301

Practitioners 25

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

National Provider Directory

Locations

333 S Illinois St
Ste A
Belleville, IL 62220
Phone (617) 277-4888

130 Lincoln Place Ct
Belleville, IL 62221
Phone (618) 257-1297

830 Admiral Weinel Blvd
Ste 200
Columbia, IL 62236
Phone (618) 281-7373

208 S Kossuth St
Millstadt, IL 62260
Phone (618) 476-1440

673 E Saint Louis St
Nashville, IL 62263
Phone (618) 327-8119

1414 Cross St
Ste 230
Shiloh, IL 62269
Phone (618) 607-1260

4017 State Route 159
Ste 101
Smithton, IL 62285
Phone (618) 257-2875

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X 036053136 IL Yes

Addresses

Primary practice location

310 North Seven Hills Road
O'Fallon, IL 62269

Mailing address

4500 Memorial Drive
Medical Affairs Office
Belleville, IL 62226
Phone (618) 257-4644

Other providers in O'Fallon, IL

All providers in O'Fallon, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.