Organization · Type 2 NPI

Gibson Community Hospital Association

Otolaryngology Physician · Gibson City, IL

NPI number 1982343448 Active

Practice location

1 Doctors Park
Gibson City, IL 60936

Call (217) 784-2808 Map

Fax (217) 680-0008

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

6 other providers at this address

NPI record

NPI: 1982343448
Entity type: Organization (Type 2)
Issued: Jun 2, 2022
Last updated: Jul 7, 2022
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

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Gibson Area Hospital Ent Clinic · doing business as
Gibson Area Hospital Ent Clinic · doing business as

Authorized official

Matthew Ertel
CFO
(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 1982343448

Gibson Community Hospital Association's National Provider Identifier is 1982343448, issued on Jun 2, 2022. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Gibson City, IL. The record was last updated on Jul 7, 2022.