| Illinois Mobile Wound Pc | |
|
28 Meadow Rue Dr Edwardsville IL 62025-3141 | |
| (618) 980-3150 | |
| Not Available |
| Full Name | Illinois Mobile Wound Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 28 Meadow Rue Dr, Edwardsville, Illinois |
| Authorized Official Name and Position | Amanda Cleland (ADMINISTRATOR) |
| Authorized Official Contact | 6189802181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Mobile Wound Pc 28 Meadow Rue Dr Edwardsville IL 62025-3141 Ph: (618) 980-3150 | Illinois Mobile Wound Pc 28 Meadow Rue Dr Edwardsville IL 62025-3141 Ph: (618) 980-3150 |
| NPI Number | 1639061757 |
|---|---|
| Provider Enumeration Date | 07/15/2025 |
| Last Update Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639061757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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