# AHP OF ILLINOIS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447208483
- **Authorized official:** SEAN LYNCH (PRESIDENT)
- **Authorized official phone:** (770) 945-5330

## Contact information

- **Practice address:** 503 N MAPLE ST, EFFINGHAM, IL 62401-2006
- **Practice address phone:** (217) 342-2121
- **Mailing address:** DEPT 1073 PO BOX 740209, ATLANTA, GA 30374-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 07/16/2007