# THE GHALAMBOR INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083952717
- **Authorized official:** OMID GHALAMBOR MD (OWNDER)
- **Authorized official phone:** (217) 222-4567

## Contact information

- **Practice address:** 3601 E LAKE CTR, SUITE 400, QUINCY, IL 62305-5873
- **Practice address phone:** (217) 222-4567
- **Mailing address:** 3601 EAST LAKE CENTRE DRIVE, SUITE 400, QUINCY, IL 62305
- **Mailing address phone:** (217) 222-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036114432 | IL | Yes |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 01/31/2013