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
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
10/19/2023
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