Cep America- Illinois Snf, LLP

NPI #1154801744 in Breese, Illinois

Provider Information

NPI Number: 1154801744
Entity Type: Organization
Organization Name: Cep America- Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: Aug 14, 2018
Last Updated: Mar 30, 2020

Practice Location

Address: 1155 N 1ST ST
City: Breese
State: Illinois
ZIP Code: 62230-1735
Phone: (618) 526-4521

Authorized Official

Name: THEOPHILE G. 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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