Illinois Mobile Wound PC
NPI #1639061757 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1639061757
- Entity Type
- Organization
- Organization Name
- Illinois Mobile Wound PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 15, 2025
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- 28 MEADOW RUE DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3141
- Phone
- (618) 980-3150
Authorized Official
- Name
- AMANDA CLELAND
- Title
- ADMINISTRATOR
- Phone
- (618) 980-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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