Organization · Type 2 NPI

Gibson Community Hospital Association

Obstetrics & Gynecology Physician · Gibson City, IL

NPI number 1740151034 Active

Practice location

201 E 8th St
Gibson City, IL 60936-1422

Call (217) 784-4251 Map

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5 other providers at this address

NPI record

NPI: 1740151034
Entity type: Organization (Type 2)
Issued: Sep 17, 2025
Last updated: Oct 7, 2025
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

Gibson Obstetrics and Gynecology · doing business as

Authorized official

Matthew Ertel
Chief Financial Officer
(217) 784-2601

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740151034

Gibson Community Hospital Association's National Provider Identifier is 1740151034, issued on Sep 17, 2025. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Gibson City, IL. The record was last updated on Oct 7, 2025.