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Organization
GCP ACO 2 LLC
Active
Organization
GCP ACO 2 LLC
Active
Parent organization
GENERATION CLINICAL PARTNERS LLC
Other names
GCP ACO 2 LLC Illinois
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATION CLINICAL PARTNERS LLC
Authorized official
WALTER LIN MD (CHIEF EXECUTIVE OFFICER)
(314) 925-0903
Entity
Organization
Contact information
Practice address
623 HAMACHER ST, WATERLOO, IL 62298-1786
(314) 925-0903
Mailing address
10426 BAUR BLVD, SAINT LOUIS, MO 63132-1905
(314) 925-0903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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