OrganizationActive
Cep America Illinois Intensivists
NPI 1386002368 · Critical Care Medicine (Internal Medicine) Physician · Belleville, IL
Provider details
- NPI number
- 1386002368
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theophile Koury, Administrative Vp of Operations(510) 350-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 223-7750
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Powell St
Emeryville, CA 94608-1826
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.