Individual
DR. JESSE ROBERT GEIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBA
Contact information
Practice address
2410 SAMPSON ST. (FISHER HEALTH CLINIC/NHC-503), NAVAL HEALTH CLINIC GREAT LAKES, GREAT LAKES, IL 60088-2942
(847) 688-6712
(847) 688-3860
Mailing address
1122 N. CLARK ST., #3302, CHICAGO, IL 60610-7895
(619) 855-5678
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
13333R
LA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
13333R
LA
2083P0901X
Public Health & General Preventive Medicine Physician
13333R
LA
2083X0100X
Occupational Medicine Physician
Primary
13333R
LA
208D00000X
General Practice Physician
13333R
LA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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