# ALAMO WOMEN'S CLINIC OF ILLINOIS LLC

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

## Provider details

- **NPI number:** 1326775594
- **Authorized official:** ANDREA GALLEGOS LMSW (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (210) 842-9069

## Contact information

- **Practice address:** 2800 W MAIN ST, CARBONDALE, IL 62901-1087
- **Practice address phone:** (800) 821-7237
- **Mailing address:** 2800 W MAIN ST, CARBONDALE, IL 62901-1087
- **Mailing address phone:** (618) 351-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2022
- **Last updated:** 10/19/2023