| Gcp Aco 2 LLC Illinois | |
|
623 Hamacher St Waterloo IL 62298-1786 | |
| (314) 925-0903 | |
| Not Available |
| Full Name | Gcp Aco 2 LLC Illinois |
|---|---|
| Speciality | Internal Medicine |
| Location | 623 Hamacher St, Waterloo, Illinois |
| Authorized Official Name and Position | Walter Lin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3149250903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gcp Aco 2 LLC Illinois 10426 Baur Blvd Saint Louis MO 63132-1905 Ph: (314) 925-0903 | Gcp Aco 2 LLC Illinois 623 Hamacher St Waterloo IL 62298-1786 Ph: (314) 925-0903 |
| NPI Number | 1700768603 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700768603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
Gcp Aco Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Hamacher St, Waterloo, IL 62298 Phone: 314-925-0903 |
Southern Illinois Center for Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Hamacher St, Waterloo, IL 62298 Phone: 618-939-3939 Fax: 618-939-3941 |
Valuecare Geriatrics 1 PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Hamacher St, Waterloo, IL 62298 Phone: 314-925-0903 |
Deaconess Il Clinic Hamacher St Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Hamacher St Ste 102, Waterloo, IL 62298 Phone: 812-450-6815 Fax: 812-450-6822 |
Drs Pichet & Meechai Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Hamacher St Ste 200b, Waterloo, IL 62298 Phone: 618-939-8648 Fax: 618-939-8650 |
Valuecare Geriatrics 3 PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Hamacher St, Waterloo, IL 62298 Phone: 314-925-0903 |