DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CEP AMERICA - ILLINOIS SNF, LLP

MEDICARE: CEP AMERICA - ILLINOIS SNF, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1912453358
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEP AMERICA - ILLINOIS SNF, LLP
Provider Business Mailing Address
First Line : 2100 POWELL ST
Second Line : STE 900
City : EMERYVILLE
State : CA
Zip : 94608-1826
Country : US
Telephone Number : 510-350-2600
Fax Number :
Provider Business Practice Location Address
First Line : 1021 W E ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62220-1055
Country : US
Telephone Number : 618-233-2095
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE VP OF OPERATIONS
Name : THEOPHILE KOURY
Credential : MD
Telephone Number : 510-350-2600
Provider Enumeration Date : 08/26/2016
Last Update Date : 08/26/2016

Similar Medicare Providers

1710973284 — ST PAULS SENIOR COMMUNITY LLC
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-233-2095
Practice Fax: 618-233-2109
1083182596 — DORIS A THOLE PT
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-233-2095
Practice Fax:
1891359733 — ALEXIS JOELLE MARSHALL
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-791-3073
Practice Fax:
1336705508 — TAYLOR LYNNE YATES
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-233-2095
Practice Fax:
1093314429 — CHE' NICOLE LANG PTA
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-233-2095
Practice Fax:
1558962076 — TEVIN BURKS PT,DPT
Practice Location Address:
1021 W E ST
BELLEVILLE, IL
62220-1055
Practice Phone: 618-233-2095
Practice Fax:

Directions to “CEP AMERICA - ILLINOIS SNF, LLP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.