Individual
DR. ALLEN G GERBERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
(217) 243-6454
(217) 243-1388
Mailing address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1157
(217) 243-6454
(217) 243-1388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036057587
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057587
—
IL
01
—
06900103
BCBS
IL
Enumeration date
02/03/2006
Last updated
06/13/2011
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