SearchIllinois207K00000X

Bethany Gibson, M.D

NPI 1043278013 · on the registry since 2006

Practice

Address
101 W Mckinley Ave
Enta Allergy, Head & Neck Institute
Decatur, IL 62526
Phone
(217) 876-3682
Fax
(217) 876-3345
Organisation at this address
Associated Otolaryngologists Of Decatur
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207K00000X
207K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois