Individual
MRS. PHYLLIS GABBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 222-5969
Mailing address
305 S ILLINOIS ST, BELLEVILLE, IL 62220-2133
(618) 235-1703
(618) 222-5969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
04112574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000304010
GROUP IL MEDICARE
IL
01
—
K37461
IL MEDICARE
IL
Enumeration date
10/12/2006
Last updated
06/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us