| Gibson Community Hospital Association | |
|
109 N Chestnut St Onarga IL 60955-1255 | |
| (815) 268-4841 | |
| (815) 268-4845 |
| Full Name | Gibson Community Hospital Association |
|---|---|
| Speciality | Family Medicine |
| Location | 109 N Chestnut St, Onarga, Illinois |
| Authorized Official Name and Position | Jan E Wilson (OFFICE MANAGER) |
| Authorized Official Contact | 8152684840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Community Hospital Association 109 N Chestnut St Onarga IL 60955-1255 Ph: (815) 268-4841 | Gibson Community Hospital Association 109 N Chestnut St Onarga IL 60955-1255 Ph: (815) 268-4841 |
| NPI Number | 1023218534 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023218534 | NPI | - | NPPES |
| 208576 | Other | IL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
Gibson Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912 W Seminary Ave, Onarga, IL 60955 Phone: 815-268-4840 Fax: 815-268-4845 |