Most Relevant Information
Provider Data
NPI Number: | 1003437443 |
Provider Name: | KAITLIN GIBSON MD |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 125.075723 |
Most Important Dates
Enumeration Date: | 04/27/2020 |
Last Updated: | 06/28/2021 |
Provider Practice Location
600 S PAULINA ST STE 403
CHICAGO
IL
606123806
Practice Location Phone/Fax
Phone: | 3129427100 |
Fax: |
Provider Mailing Location
600 S PAULINA ST STE 403
CHICAGO
IL
606123806
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Internist EMR