Organization
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D. (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
2100 POWELL ST, SUITE 920, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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