Gregory Thomas Bismack, M.D.

Internal Medicine in Effingham, IL. Individual provider (NPI-1).

NPI number1619293149

StatusActive

Last updated in NPPESJun 22, 2026

Details

NPI: 1619293149
Entity type: Individual (NPI-1)
Name: Gregory Thomas Bismack
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Apr 8, 2010
Certification date: Jun 22, 2026
Last updated: Jun 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	036.155470	IL	Yes
208M00000X	Hospitalist	2022010983	MO
208M00000X	Hospitalist	036155470	IL
207R00000X	Internal Medicine	4301097035	MI

Practice location

503 N Maple St
Effingham, IL 62401-2006

Phone 217-342-2121

Mailing address

801 Swarthmore Ln
University City, MO 63130-3620

Phone 248-808-2485

Other practice locations

401 Corporate Park Dr
Clayton, MO 63105-4201

Phone 636-228-4149

2351 Frank Scott Pkwy E
O Fallon, IL 62269-7457

Phone 636-288-4149

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Other Internal Medicine Physician providers in Effingham, IL

All 12 Internal Medicine Physician providers in Effingham · All 787 providers in Effingham

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