Gcp Aco 2 LLC

NPI #1700768603 in Waterloo, Illinois

Provider Information

NPI Number
1700768603
Entity Type
Organization
Organization Name
Gcp Aco 2 LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GENERATION CLINICAL PARTNERS LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 22, 2025
Last Updated
Jul 22, 2025

Practice Location

Address
623 HAMACHER ST
ZIP Code
62298-1786
Phone
(314) 925-0903

Authorized Official

Name
WALTER LIN, MD
Title
CHIEF EXECUTIVE OFFICER
Phone
(314) 925-0903

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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