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Dr. Gerson A Criste, MD
Pain Medicine (Psychiatry & Neurology) Physician in Carbondale, Illinois
NPI 1265698260

Gerson A Criste is a Pain Medicine (Psychiatry & Neurology) Physician based in Carbondale, IL and is specialized in Pain Medicine. Gerson A Criste practices in Carbondale, IL and has the professional credentials of MD. The NPI Number for Gerson A Criste is 1265698260 and holds a License No. 036120557 (Illinois).

The current practice location address for Gerson A Criste is 1390 Hope Dr, Carbondale, IL and can be reached out via phone at 618-351-4972 and via fax at 618-351-6522.

Location: 1390 Hope Dr, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265698260
Provider Name
Gerson A Criste
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1390 Hope Dr, Carbondale, IL, 62902-3988
Phone Number
618-351-4972
Fax Number
618-351-6522
Provider Enumeration Date
07/30/2008
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00785330 01 MN RAILROAD MEDICARE
3932056 01 IL BCBS SIMS
036120557 01 IL STATE LICENSE NUMBER
036120557 05 IL
721089 01 IL AETNA GROUP
institution
Provider Business Practice Location Address Details
Address
1390 Hope Dr
City
Carbondale
State
Illinois
Zip
62901-5306
Phone Number
618-351-4972
Fax Number
618-351-6522
person
Provider Business Mailing Address Details
Address
1390 Hope Dr
City
Carbondale
State
Illinois
Zip
62901-5306
Phone Number
618-351-4972
Fax Number
618-351-6522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Pain Medicine
Taxonomy
2084P2900X
License No.
036120557 (Illinois)
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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