Individual
GARETH MICHAEL MCGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36702
SC
208C00000X
Colon & Rectal Surgery Physician
Primary
036174294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367026
—
SC
01
—
SCI4633365
MEDICARE PIN
SC
01
—
SCI4637628
MEDICARE PIN
SC
Enumeration date
09/02/2014
Last updated
11/11/2025
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