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Organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Active
Organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Active
Parent organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Other names
Gateway Imaging: Waterloo
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Authorized official
JONATHAN BURKET (CORPORATE COMPLIANCE)
(818) 666-0602
Entity
Organization
Contact information
Practice address
509 HAMACHER ST STE 300, WATERLOO, IL 62298-1592
(818) 666-0602
Mailing address
509 HAMACHER ST STE 300, WATERLOO, IL 62298-1592
(618) 393-9790
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/02/2023
Last updated
06/27/2024
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