Gibson Community Hosptial Assn
Gibson Community Hosptial Assn provides Physician Assistant services in Forrest, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
122 E Wabash AveForrest, IL 61741-9369 Not confirmed with CMS for 12 years — call before visiting
Phone: (815) 657-8707
Fax: (815) 657-8717
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085005214 (IL) |
|---|
Record details
| NPI number | 1154723492 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Gibson Community Hospital Assn |
| Authorized official | Dawn Kestner — Office Manager · (815) 657-8707 |
| Other names | Prairie Family Medicine And Obstetrics |
| NPI enumerated | September 18, 2014 |
| Last updated in NPPES | September 18, 2014 |
| Mailing address | 122 E Wabash Ave, P O Box 58, Forrest, IL 61741-9369 |