Cep America - Illinois Snf, LLP

NPI #1073069415 in Belleville, Illinois

Provider Information

NPI Number: 1073069415
Entity Type: Organization
Organization Name: Cep America - Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: Aug 26, 2016
Last Updated: Nov 16, 2016

Practice Location

Address: 150 N 27TH ST
City: Belleville
State: Illinois
ZIP Code: 62226-6621
Phone: (618) 235-6600

Authorized Official

Name: THEOPHILE KOURY, MD
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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