Individual provider · NPI-1

Andrew Robert Gage, M.D.

Family Medicine · Mattoon, IL

NPI number1013931567
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1013931567
Entity type
Individual (NPI-1)
Name
Andrew Robert Gage
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2006
Certification date
Jun 17, 2022
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036102275ILYes
208M00000X Hospitalist036102275IL

Practice location

101 Coles Centre Dr
Mattoon, IL 61938-9314

Phone 217-234-5110

Mailing address

1207 Network Centre Dr
Suite 3
Effingham, IL 62401-4632

Phone 217-347-2707 · Fax 217-347-2827

Other practice locations

512 N Maple St
Effingham, IL 62401-2005

Phone 217-347-7030 · Fax 217-347-7049

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