| Cep America - Illinois Snf, Llp | |
|
2 Annable Ct Cahokia IL 62206-2204 | |
| (618) 332-0114 | |
| Not Available |
| Full Name | Cep America - Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Annable Ct, Cahokia, Illinois |
| Authorized Official Name and Position | Theophile 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 2 Annable Ct Cahokia IL 62206-2204 Ph: (618) 332-0114 |
| NPI Number | 1104395441 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104395441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Cahokia Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Upper Cahokia Rd, Cahokia, IL 62206 Phone: 618-337-2597 Fax: 618-337-2930 | |
Cahokia School Based Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Range Ln, Cahokia, IL 62206 Phone: 618-337-3117 Fax: 618-337-3122 |