Individual
ASHLEY L GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 THEODORE ST, SUITE 6, JOLIET, IL 60435-2443
(815) 724-0835
(815) 724-0845
Mailing address
600 THEODORE ST, SUITE 6, JOLIET, IL 60435-2443
(815) 724-0835
(815) 724-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014498
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619980
BCBS OF IL
IL
Enumeration date
01/22/2007
Last updated
01/31/2011
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