# AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
- **Other names:** Edwardsville Ambulatory Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457051096
- **Legal business name:** AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
- **Authorized official:** JONATHAN BURKET (CORPORATE COMPLIANCE)
- **Authorized official phone:** (818) 666-0602

## Contact information

- **Practice address:** 12 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
- **Practice address phone:** (818) 666-0602
- **Mailing address:** 12 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 03/02/2023