Gibson City Clinic Sc
NPI #1386903946 in Gibson City, Illinois
Provider Information
- NPI Number
- 1386903946
- Entity Type
- Organization
- Organization Name
- Gibson City Clinic Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 16, 2012
- Last Updated
- May 16, 2012
Practice Location
- Address
- 222 N SANGAMON AVE
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-1345
- Phone
- (217) 784-8148
Authorized Official
- Name
- DAVID HAGAN, M.D.
- Title
- PRESIDENT
- Phone
- (217) 784-8148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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