Healthcare Provider Details

I. General information

NPI: 1790607026
Provider Name (Legal Business Name): GISELA ALAMO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 ARMITAGE AVE
MELROSE PARK IL
60164-1903
US

IV. Provider business mailing address

6200 ROOSEVELT RD # 1050
OAK PARK IL
60304-2302
US

V. Phone/Fax

Practice location:
  • Phone: 331-343-6479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GISELA ALAMO
Title or Position: OWNER
Credential: LCSW
Phone: 331-343-6479