Gibson Community Hospital Association

Organization Addiction Medicine (Family Medicine) Physician · NPI 1093448011

Gibson Community Hospital Association provides Addiction Medicine (Family Medicine) Physician services in Gibson City, Illinois. Registered with an NPI since 2022.

In the registry since: 2022

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Practice location Address checks out

10 Doctors Park
Gibson City, IL 60936-2004
Phone: (217) 784-4251

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary)	Taxonomy 207QA0401X

Record details

NPI number	1093448011
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Gibson Community Hospital Association
Authorized official	Matthew Ertel — Chief Financial Officer · (217) 784-2601
Other names	Gibson Recovery Optimizing Wellness
NPI enumerated	July 7, 2022
Last updated in NPPES	August 2, 2022
Certification date	August 2, 2022
Mailing address	1120 N Melvin St, Gibson City, IL 60936-1477