IndividualActive
Bethany Gibson, M.D.
NPI 1043278013 · Allergy & Immunology Physician · Decatur, IL
Provider details
- NPI number
- 1043278013
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036115524 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 W Mckinley Ave
Enta Allergy, Head & Neck Institute
Decatur, IL 62526
Phone: (217) 876-3682
Fax: (217) 876-3345
Approximate (ZIP-level) locationGet directions
Mailing address
2300 N Edward St
Decatur, IL 62526-4163
Registry dates
- Enumerated
- 2006-05-01
- Last updated
- 2014-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.