Ahp of Illinois, INC
NPI #1629326954 in Granite City, Illinois
Provider Information
- NPI Number
- 1629326954
- Entity Type
- Organization
- Organization Name
- Ahp of Illinois, INC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Aug 16, 2012
- Last Updated
- Aug 16, 2012
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4701
- Phone
- (618) 798-3000
Authorized Official
- Name
- GREGORY WACHOWIAK
- Title
- MANAGER/PRES
- Phone
- (770) 945-5330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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