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Organization
ALAMO WOMEN'S CLINIC OF ILLINOIS LLC
Active
Organization
ALAMO WOMEN'S CLINIC OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GALLEGOS LMSW (EXECUTIVE ADMINISTRATOR)
(210) 842-9069
Entity
Organization
Contact information
Practice address
2800 W MAIN ST, CARBONDALE, IL 62901-1087
(800) 821-7237
Mailing address
2800 W MAIN ST, CARBONDALE, IL 62901-1087
(618) 351-2253
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
NULL
Other
Enumeration date
08/06/2022
Last updated
10/19/2023
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