Individual provider · Type 1 NPI
Mary E. Gibson, APN
Adult Health Nurse Practitioner · Matteson, IL
NPI number
1699714907
Active
Practice location
4749 Lincoln Mall Dr Ste 204
Matteson, IL 60443-3806
Fax (708) 481-3320
Mailing address
7804 W Golf Dr Apt 2B
Palos Heights, IL 60463-3067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209-000390 (IL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209-000390 (IL) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1699714907
Mary E. Gibson, APN's National Provider Identifier is 1699714907, issued on Jun 5, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Matteson, IL. The record was last updated on Sep 29, 2026.