# ALPHA PERFORMANCE MEDICINE S.C.

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

## Provider details

- **NPI number:** 1407649791
- **Authorized official:** BRANDON WILLIAMS (PROVIDER/OWNER)
- **Authorized official phone:** (618) 702-5742

## Contact information

- **Practice address:** 13 WOLF CREEK DR STE 4, SWANSEA, IL 62226-2367
- **Practice address phone:** (618) 702-5742
- **Mailing address:** 13 WOLF CREEK DR STE 4, SWANSEA, IL 62226-2367
- **Mailing address phone:** (618) 702-5742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 05/28/2025
