Cep America - Illinois Snf, LLP
NPI #1912453358 in Belleville, Illinois
Provider Information
- NPI Number
- 1912453358
- Entity Type
- Organization
- Organization Name
- Cep America - Illinois Snf, LLP
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 26, 2016
- Last Updated
- Aug 26, 2016
Practice Location
- Address
- 1021 W E ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1055
- Phone
- (618) 233-2095
Authorized Official
- Name
- THEOPHILE KOURY, MD
- Title
- ADMINISTRATIVE VP OF OPERATIONS
- Phone
- (510) 350-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Internal Medicine |
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