Ahs Il Medical Group LLC
NPI #1144001470 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1144001470
- Entity Type
- Organization
- Organization Name
- Ahs Il Medical Group LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 12, 2023
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 4802 S STATE ROUTE 159
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1904
- Phone
- (618) 288-4388
Authorized Official
- Name
- JONATHAN BURKET
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (818) 666-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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