Cep America Illinois Intensivists
NPI #1386002368 in Belleville, Illinois
Provider Information
- NPI Number
- 1386002368
- Entity Type
- Organization
- Organization Name
- Cep America Illinois Intensivists
- Primary Specialty
- Internal Medicine - Critical Care Medicine
- Enumeration Date
- Feb 4, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 4500 MEMORIAL DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5360
- Phone
- (618) 223-7750
Authorized Official
- Name
- THEOPHILE KOURY, M.D.
- Title
- ADMINISTRATIVE VP OF OPERATIONS
- Phone
- (510) 350-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Critical Care Medicine — Critical Care Medicine |
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