Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK MICHAEL GIBSON, M.D.
ActiveJACK MICHAEL GIBSON, M.D. is a Obstetrics & Gynecology healthcare provider located in PEORIA, Illinois. NPI 1346235777 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · PEORIA, IL
Registration Details
- NPI Number
- 1346235777
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.885587533063 yrs)
- Last Updated
- Jul 18, 2019
- License
-
036064619 (IL)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370001Browse IL providers · Browse ZIP 61637
- Phone
- 3096962297
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| JODY L KELLY | M.D. | 1932107208 |
| MRS. LORI A TEVERBAUGH | M.D. | 1427037209 |
| MR. JOSHUA A CROLAND | M.D. | 1215916093 |
| DR. ANTOINETTE T LEVASSEUR | M.D. | 1144291055 |
| RIDA W BOULOS | MD | 1114991577 |
| EDWARD SAAD | MD | 1891764908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.