Organization
CEP AMERICA ILLINOIS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (VP)
(510) 350-2600
Entity
Organization
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
04/07/2020
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