Search › Illinois › 225200000X
Gabe Mckibben
NPI 1841951142 · on the registry since 2022
Practice
- Address
- 2904 Walnut Ave
Mattoon, IL 61938 - Phone
- (217) 254-5118
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-07
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