Jerry Gibbons, MD
Psychiatry & Neurology, Psychiatry in Elk Grove Village, IL. Individual provider (NPI-1).
NPI number1619080124
StatusActive
Last updated in NPPESJun 12, 2012
Details
- NPI
- 1619080124
- Entity type
- Individual (NPI-1)
- Name
- Jerry Gibbons
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jun 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 336072265 | IL | Yes |
Practice location
1001 Rohlwing RdElk Grove Village, IL 60007-3217
Phone 847-524-8800 · Fax 847-524-8824
Mailing address
1001 Rohlwing RdElk Grove Village, IL 60007-3217
Phone 847-524-8800 · Fax 847-524-8824
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