Individual
ALINE GILBERT-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3111 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5235
(618) 997-3647
(618) 998-1328
Mailing address
PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036110211
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110211
—
IL
05
—
370966854011
—
IL
01
—
640701
MEDICARE WPS FFS GROUP
IL
01
—
CF3444
MEDICARE RAILROAD GROUP
IL
Enumeration date
06/04/2006
Last updated
07/29/2010
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