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1659098101
AHS IL MEDICAL GROUP LLC
GRANITE CITY, IL
NPI
1659098101
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Entity Type
Organization
Authorized Contact
JONATHAN E BURKET
Compliance
818-666-0602
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-10-25
Last Update Date
2023-10-12
Business Address
AHS IL MEDICAL GROUP LLC
2100 MADISON AVE
GRANITE CITY, IL 62040-4713
Phone number: 818-666-0602
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Mailing Address
AHS IL MEDICAL GROUP LLC
4273 S STATE ROUTE 159
GLEN CARBON, IL 62034-3224
Phone number: 186-288-2297
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