Organization
CEP AMERICA - ILLINOIS HOSPITALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY M.D. (ADMINISTRATIVE VP OF OPERATIONS)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-2571
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
08/24/2023
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