Individual
GEORGE V GIBSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036169353
IL
207X00000X
Orthopaedic Surgery Physician
5101016496
MI
Other
Enumeration date
05/03/2007
Last updated
04/01/2026
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