Organization · Type 2 NPI
PC Associates, LLC
Primary Care Clinic/Center · O'fallon, IL
NPI number
1184717019
Active
Practice location
310 N. Seven Hills Road
O'fallon, IL 62269
Fax (618) 622-2578
Mailing address
4500 Memorial Dr, Medical Affairs Credentialing Department
Belleville, IL 62226-5360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Psychologist | 103TC0700X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1184717019
PC Associates, LLC's National Provider Identifier is 1184717019, issued on Oct 2, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in O'fallon, IL. The record was last updated on Feb 19, 2013.