American Healthcare Systems Illinois LLC

NPI #1770283301 in Waterloo, Illinois

Provider Information

NPI Number: 1770283301
Entity Type: Organization
Organization Name: American Healthcare Systems Illinois LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 2, 2023
Last Updated: Jun 27, 2024

Practice Location

Address: 509 HAMACHER ST STE 300
City: Waterloo
State: Illinois
ZIP Code: 62298-1592
Phone: (818) 666-0602

Authorized Official

Name: JONATHAN BURKET
Title: CORPORATE COMPLIANCE
Phone: (818) 666-0602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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