Ahs Il Medical Group LLC
NPI #1548041866 in Granite City, Illinois
Provider Information
- NPI Number
- 1548041866
- 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
- 3912 MARYVILLE RD
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4179
- Phone
- (618) 931-1335
Authorized Official
- Name
- MR. JONATHAN BURKET
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (818) 666-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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