Ahs Il Medical Group LLC
NPI #1659098101 in Granite City, Illinois
Provider Information
- NPI Number
- 1659098101
- Entity Type
- Organization
- Organization Name
- Ahs Il Medical Group LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4713
- Phone
- (818) 666-0602
Authorized Official
- Name
- JONATHAN E BURKET
- Title
- COMPLIANCE
- Phone
- (818) 666-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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