Organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Active
Parent organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Other names
Edwardsville Ambulatory Surgery Center
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
12 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
(818) 666-0602
Mailing address
12 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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