Cep America Illinois LLP
Organization Active NPI Emergency Medicine Physician · Arlington Heights, IL
NPI 1487091229 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1487091229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA ILLINOIS LLP
- Practice address
- 800 W Central Rd
Arlington Heights, IL 60005-2349 - Phone
- (847) 618-1000
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Theophile Koury, MD
- Title
- VP
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 35
Practitioners 52
-
Jennifer Beckemeyer, M.D.
-
Rebecca Murphy Caton, M.D.
-
Timothy P Coggin, M.D.
-
Mark P Demus, MD
-
Leo Dilan, D.O.
-
Myto Duong, MB, BCH, BAO
-
Kristen L Ferguson, M.D.
-
Zachary Friedman, PA
-
Katrina Gallagher, N.P.
-
Theresa Catherine Gandor, M.D.
-
Kayla Gieschen, PA
-
Dennis J Goldberg, M.D.
-
Matthew Robert Jankowski, M.D.
-
Zebaa Kalimullah, MD
-
Tiffany Kendrigan, FNP-BC
-
Wajahat Khan, PA-C
-
Angela Kitts-Faron, APN
-
Nancy Maria Mule, PA-C
-
Breeanna Murphy, MD
-
Tamer Noureldin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120322000587 | IL | Part B Supplier - Clinic/Group Practice | 3274793633 |
Receives reassigned benefits from 1,241 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elk Grove Village, IL; Evanston, IL; Greenville, IL; Highland, IL; Hoffman Estates, IL; Joliet, IL; Kankakee, IL; Libertyville, IL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
800 W Central Rd
Arlington Heights, IL 60005-2349
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
NPI Registry JSON
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1487091229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052349",
"telephone_number": "847-618-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA ILLINOIS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "THEOPHILE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
- Center for Family and Geriatric Medicine, S.C.
- Center of Illinois Home Healthcare, Inc.
- Nicole Centracchio
- Central Eye Care LTD
- Central Family Care & Weight Loss Clinic LLC
- Cepamerica Illinois PC
- Cereesa E. Longest MD SC
- Certified Healthcare Support LLC
- Melissa Chaffer
- Noemi Chalcakova
All providers in Arlington Heights, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.