| Cep America - Illinois Snf, Llp | |
|
601 W Lincoln Ave Caseyville IL 62232-1306 | |
| (618) 345-3072 | |
| Not Available |
| Full Name | Cep America - Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 W Lincoln Ave, Caseyville, Illinois |
| Authorized Official Name and Position | Theophile G. Koury (ADMINISTRATIVE VICE PRESIDENT) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Illinois Snf, Llp 2100 Powell St Ste 900 Emeryville CA 94608-1844 Ph: (510) 350-2600 | Cep America - Illinois Snf, Llp 601 W Lincoln Ave Caseyville IL 62232-1306 Ph: (618) 345-3072 |
| NPI Number | 1215403241 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215403241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |