Individual
JALEESA GILBERT-GORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MEMORIAL DR STE 220, ALTON, IL 62002-6723
(618) 474-1723
Mailing address
2 MEMORIAL DR STE 220, ALTON, IL 62002-6723
(618) 474-1723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036154807
IL
Other
Enumeration date
04/10/2018
Last updated
07/26/2021
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