OrganizationActive
Gibson Community Hospital Association
NPI 1659010445 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Gibson City, IL
Provider details
- NPI number
- 1659010445
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Gibson Community Hospital Association
- Organization subpart
- Yes
- Authorized official
- Matthew Ertel, Cfo(217) 784-2601
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1120 N Melvin St
Gibson City, IL 60936-1477
Phone: (217) 784-2212
Fax: (217) 784-2572
Approximate (ZIP-level) locationGet directions
Mailing address
1120 N Melvin St
Gibson City, IL 60936-1477
Other names (DBA / former)
- Doing business as
- Gibson Area Hospital Urogynecology Clinic
- Doing business as
- Gibson Area Hospital Urogynecology Clinic
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.