Organization
THE GHALAMBOR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID GHALAMBOR MD (OWNDER)
(217) 222-4567
Entity
Organization
Contact information
Practice address
3601 E LAKE CTR, SUITE 400, QUINCY, IL 62305-5873
(217) 222-4567
Mailing address
3601 EAST LAKE CENTRE DRIVE, SUITE 400, QUINCY, IL 62305
(217) 222-4567
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036114432
IL
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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