OrganizationActive
PC Associates LLC
NPI 1235452855 · Internal Medicine Physician · O'Fallon, IL
Provider details
- NPI number
- 1235452855
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Davis, Executive Director(618) 257-6301
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
310 North Seven Hills Road
O'Fallon, IL 62269
Phone: (618) 624-6181
Fax: (618) 622-2593
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Memorial Drive
Belleville, IL 62226
Registry dates
- Enumerated
- 2010-03-10
- Last updated
- 2014-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.