Ahs Il Medical Group LLC
Durable Medical Equipment & Medical Supplies in Granite City, IL. Organization (NPI-2).
NPI number1548041866
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1548041866
- Entity type
- Organization (NPI-2)
- Legal business name
- Ahs Il Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2023
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Gateway Medical Group/Ilsw Orthopedics (Doing Business As)
Practice location
3912 Maryville RdGranite City, IL 62040-4179
Phone 618-931-1335
Mailing address
3912 Maryville RdGranite City, IL 62040-4179
Phone 618-931-1335
Authorized official
Jonathan Burket
Chief Compliance Officer
8186660602
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All 9 Durable Medical Equipment & Medical Supplies providers in Granite City · All 486 providers in Granite City
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