Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Mahomet Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C SCHMITT II (CEO)
(217) 784-2600
Entity
Organization
Contact information
Practice address
1504 PATTON DR, UNIT #3, MAHOMET, IL 61853-8126
(217) 586-2633
Mailing address
1504 PATTON DR, UNIT #3, MAHOMET, IL 61853-8126
(217) 586-2633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0000836
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
0000836
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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