Organization
AHP OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYNCH (PRESIDENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 342-2121
Mailing address
DEPT 1073 PO BOX 740209, ATLANTA, GA 30374-0209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/04/2006
Last updated
07/16/2007
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