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Search › Illinois › 363LA2200X

Mary Gibson, APN

NPI 1699714907 · on the registry since 2006

Practice

Address
4749 Lincoln Mall Dr Ste 204
Matteson, IL 60443
Phone
(708) 481-4200
Fax
(708) 481-3320
Organisation at this address
Athletico Ltd
Laynie Foundation
Pinhas Sharon Md, Llc
Positive Impact Solution
Care Members At Home Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-15

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