CEP AMERICA -ILLINOIS PC

CHICAGO, IL
NPI1851900344
Entity TypeOrganization
Authorized ContactTHEOPHILE KOURY
Admin Vice President Of Ops
510-350-2842
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207P00000X Emergency Medicine
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2020-07-30
Last Update Date2021-05-12
Business Address
CEP AMERICA -ILLINOIS PC
2112 S MICHIGAN AVE
CHICAGO, IL 60616-1704
Phone number: 630-372-1100
Mailing Address
CEP AMERICA -ILLINOIS PC
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: 510-350-2842