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Mary E Gibson, APN
Adult Health Nurse Practitioner in Matteson, Illinois
NPI 1699714907

Mary E Gibson is an Adult Health Nurse Practitioner based in Palos Heights, IL and is specialized in Adult Health. Mary E Gibson practices in Matteson, IL and has the professional credentials of APN. The NPI Number for Mary E Gibson is 1699714907 and holds a License No. 209-000390 (Illinois).

The current practice location address for Mary E Gibson is 4749 Lincoln Mall Dr Ste 204, Matteson, IL and can be reached out via phone at 708-481-4200 and via fax at 708-481-3320. You can also correspond with Mary E Gibson through the mailing address at 7804 W GOLF DR APT 2B, PALOS HEIGHTS, IL - 60463-3067 (mailing address contact number: 708-481-4200).

Location: 4749 Lincoln Mall Dr Ste 204, Matteson, IL, 60463-3067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699714907
Provider Name
Mary E Gibson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4749 Lincoln Mall Dr Ste 204, Matteson, IL, 60463-3067
Phone Number
708-481-4200
Fax Number
708-481-3320
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01619268 01 IL BLUESHIELD NUMBER
institution
Provider Business Practice Location Address Details
Address
4749 Lincoln Mall Dr Ste 204
City
Matteson
State
Illinois
Zip
60443-3806
Phone Number
708-481-4200
Fax Number
708-481-3320
person
Provider Business Mailing Address Details
Address
7804 W Golf Dr Apt 2B
City
Palos Heights
State
Illinois
Zip
60463-3067
Phone Number
708-481-4200
Fax Number
708-481-3302
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209-000390 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
209-000390 (Illinois)
Definition
Definition to come...
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