OrganizationActive
Cep America- Illinois Snf, LLP
NPI 1154801744 · Internal Medicine Physician · Breese, IL
Provider details
- NPI number
- 1154801744
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theophile Koury, Administrative Vp of Operations(510) 350-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1155 N 1st St
Breese, IL 62230-1735
Phone: (618) 526-4521
Street-level locationGet directions
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2020-03-30
- Certified
- 2020-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.