Alamo Women's Clinic of Illinois LLC

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

Legal business name

ALAMO WOMEN'S CLINIC OF ILLINOIS LLC

Practice address

2800 W Main St
Carbondale, IL 62901-1087

Phone

(800) 821-7237

NPI assigned

Aug 6, 2022

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Gallegos, LMSW

Title

Executive Administrator

Phone

(210) 842-9069

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1326775594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011087",
            "telephone_number": "618-351-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011087",
            "telephone_number": "800-821-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO WOMEN'S CLINIC OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-842-9069",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Aks, D.O.
• Firas J Al Badarin, MD
• Raed Al-Dallow, M.D.
• Nabil Al-Sharif, M.D.
• Fakhre Alam, MD
• Albany Clinic LLC
• Samantha Albeedh, MSW, LCSW
• Muhammad Armughan Ali, M.D.
• Align Healthcare LLC
• Align Healthcares LLC

• Ambulatory Family Planning Facility in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Ambulatory Family Planning Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.