| NPI | 1457616229 |
|---|---|
| Doing Business As | GIBSON AREA HOSPITAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ERTEL CFO 217-784-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2025-10-27 |