American Healthcare Systems Illinois Llc | |
1261 University Dr Edwardsville IL 62025-5586 | |
(818) 666-0602 | |
Not Available |
Full Name | American Healthcare Systems Illinois Llc |
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Speciality | Clinic/center |
Location | 1261 University Dr, Edwardsville, Illinois |
Authorized Official Name and Position | Jonathan Burket (CORPORATE COMPLIANCE) |
Authorized Official Contact | 8186660602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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American Healthcare Systems Illinois Llc 1261 University Dr Edwardsville IL 62025-5586 Ph: () - | American Healthcare Systems Illinois Llc 1261 University Dr Edwardsville IL 62025-5586 Ph: (818) 666-0602 |
NPI Number | 1760182307 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Identifier | Type | State | Issuer |
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1760182307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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