Tara Gibbons, MD Valid NPI

Individual provider · Pediatrics Physician · Maywood, IL

NPI

1295316248

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

125.077557 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-04-20

Last updated

2021-07-31