| Gerthy C Pierre Llc | |
|
9 Eagle Ctr O Fallon IL 62269-1948 | |
| (847) 852-0145 | |
| Not Available |
| Full Name | Gerthy C Pierre Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9 Eagle Ctr, O Fallon, Illinois |
| Authorized Official Name and Position | Gerthy Cipus Pierre (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8478520145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerthy C Pierre Llc 1706 Cloverdale Dr Edwardsville IL 62025-5500 Ph: (847) 852-0145 | Gerthy C Pierre Llc 9 Eagle Ctr O Fallon IL 62269-1948 Ph: (847) 852-0145 |
| NPI Number | 1821746421 |
|---|---|
| Provider Enumeration Date | 03/13/2022 |
| Last Update Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821746421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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