Organization
AMG ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAHR (PRESIDENT)
(414) 299-1606
Entity
Organization
Contact information
Practice address
45 TOWER CT, SUITE C, GURNEE, IL 60031-3376
(847) 623-3200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 647-6326
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005112
—
WI
Enumeration date
02/02/2009
Last updated
10/03/2025
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