Organization
ILLINOIS MOBILE WOUND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLELAND (ADMINISTRATOR)
(618) 980-2181
Entity
Organization
Contact information
Practice address
28 MEADOW RUE DR, EDWARDSVILLE, IL 62025-3141
(618) 980-3150
Mailing address
28 MEADOW RUE DR, EDWARDSVILLE, IL 62025-3141
(618) 980-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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