Jack Michael Gibson M.D.

  • NPI 1346235777
According to our database, the NPI number for Jack Michael Gibson M.D. is 1346235777 and activated since 18 years ago. Jack Michael Gibson M.D. is an individual provider who specializes in Obstetrics & Gynecology, and the primary practice location is 530 Ne Glen Oak Ave, Peoria, IL 61637. You can also contact Jack Michael Gibson M.D. via telephone number is (309) 696-2297. Provider NPI information was last updated on 07/18/2019.

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Overview of Jack Michael Gibson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/12/2005
  • Last updated: 07/18/2019

Primary Scrop of Practice

  • Taxonomy Code: 207V00000X
  • Specialty: Obstetrics & Gynecology
  • License Number: 036064619
  • License State: IL

Provider Mailing Address

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-696-2297
  • Fax:

Provider Practice Location

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-696-2297
  • Fax:

Scope of Practice

  • Taxonomy Code: 207V00000X
  • Specialty: Obstetrics & Gynecology
  • License Number: 036064619
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 007200621
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Michael Gibson M.D.?
  • A: The npi number for Jack Michael Gibson M.D. is 1346235777.
  • Q: What are Jack Michael Gibson M.D.'s specialties?
  • A: Jack Michael Gibson M.D.'s specialties are Obstetrics & Gynecology and different specialities.
  • Q: What is the medical license for Jack Michael Gibson M.D.?
  • A: The medical license number for Jack Michael Gibson M.D. is 036064619 and issued in IL in USA.
  • Q: Where is Jack Michael Gibson M.D. practice location?
  • A: Jack Michael Gibson M.D. is practicing at 530 Ne Glen Oak Ave, Peoria, IL 61637.
  • Q: How to contact Jack Michael Gibson M.D.?
  • A: You can contact Jack Michael Gibson M.D. via 309-696-2297.
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