Organization
AMG ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAILET MD (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
45 TOWER CT, SUITE C, GURNEE, IL 60031-3376
(847) 623-3200
(847) 623-9168
Mailing address
45 TOWER CT, SUITE C, GURNEE, IL 60031-3376
(847) 623-3200
(847) 623-9168
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
09/09/2009
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