Cep America Illinois LLP

NPI #1134587637 in Shiloh, Illinois

Provider Information

NPI Number: 1134587637
Entity Type: Organization
Organization Name: Cep America Illinois LLP
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 29, 2016
Last Updated: Jan 29, 2016

Practice Location

Address: 1404 CROSS ST
City: Shiloh
State: Illinois
ZIP Code: 62269-2988
Phone: (618) 233-7750

Authorized Official

Name: THEOPHILE KOURY, MD
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (510) 350-2680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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