| Gah Neurology | |
|
1120 N Melvin St Gibson City IL 60936-1477 | |
| (217) 784-2806 | |
| (217) 680-0006 |
| Full Name | Gah Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1120 N Melvin St, Gibson City, Illinois |
| Authorized Official Name and Position | Matthew Ertel (CFO) |
| Authorized Official Contact | 2177842601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gah Neurology 1120 N Melvin St Gibson City IL 60936-1477 Ph: (217) 784-2340 | Gah Neurology 1120 N Melvin St Gibson City IL 60936-1477 Ph: (217) 784-2806 |
| NPI Number | 1558941195 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558941195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Behavioral Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4540 |