Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cep America - Illinois SNF, LLP

Organization Internal Medicine Physician · NPI 1104395441

Cep America - Illinois SNF, LLP is an Internal Medicine Physician in Cahokia, Illinois. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 Annable Ct
Cahokia, IL 62206-2204
Phone: (618) 332-0114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1104395441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theophile Koury — Administrative Vp Of Operations · (510) 350-2600
NPI enumeratedNovember 15, 2018
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411