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Contact Information

CEP AMERICIA-ILLINOIS INTENSIVISTS
1404 CROSS ST
SHILOH, IL62269-2988
 Phone: 618-233-7750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CEP AMERICIA-ILLINOIS INTENSIVISTS

NPI # 1578921557
LBN Legal business name CEP AMERICIA-ILLINOIS INTENSIVISTS
Authorized official THEOPHILE KOURY - (ADMINISTRATIVE VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2016
Last updated 02/04/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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