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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

Other

Enumeration date
03/02/2023
Last updated
06/27/2024
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