OrganizationActive
Ahp of Illinois, Inc
NPI 1629326954 · Anesthesiology Physician · Granite City, IL
Provider details
- NPI number
- 1629326954
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Wachowiak, Manager/Pres(770) 945-5330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 798-3000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 116935
Atlanta, GA 30368-0001
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2012-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.