| Cep America- Illinois Snf, Llp | |
|
1155 N 1st St Breese IL 62230-1735 | |
| (618) 526-4521 | |
| Not Available |
| Full Name | Cep America- Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1155 N 1st St, Breese, Illinois |
| Authorized Official Name and Position | Theophile G. Koury (ADMINISTRATIVE VP OF OPERATIONS) |
| 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 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America- Illinois Snf, Llp 1155 N 1st St Breese IL 62230-1735 Ph: (618) 526-4521 |
| NPI Number | 1154801744 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154801744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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