OrganizationActive
Cep America - Illinois Snf, LLP
NPI 1386156826 · Infectious Disease Physician · Maryville, IL
Provider details
- NPI number
- 1386156826
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Birdsall, Administrative Vp of Operations(510) 350-2680
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 288-5711
Street-level locationGet directions
Mailing address
2100 Powell St
Emeryville, CA 94608-1826
Registry dates
- Enumerated
- 2017-10-24
- Last updated
- 2017-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.