| NPI | 1114304045 |
|---|---|
| Doing Business As | GIBSON AREA FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MIKE MEUNIER Chief Compliance Officer 217-784-2286 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 0000836) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-10-08 |