OrganizationActive
Gibson Community Hosptial Assn
NPI 1154723492 · Physician Assistant · Forrest, IL
Provider details
- NPI number
- 1154723492
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Gibson Community Hospital Assn
- Organization subpart
- Yes
- Authorized official
- Dawn Kestner, Office Manager(815) 657-8707
- License
- 085005214 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
122 E Wabash Ave
Forrest, IL 61741-9369
Phone: (815) 657-8707
Fax: (815) 657-8717
Approximate (ZIP-level) locationGet directions
Mailing address
122 E Wabash Ave
Forrest, IL 61741-9369
Other names (DBA / former)
- Doing business as
- Prairie Family Medicine and Obstetrics
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2014-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.