Active NPI
Linda R. Gibson, M.D.
- Gynecology Physician
- Palatine, IL
National Provider Identifier
1639169683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036-072564
- Practice address
- 363 W Northwest Hwy
Palatine, IL 60067-2414 - Phone
- (847) 221-4601
- Fax
- (847) 221-4651
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036-072564 | IL | Primary |
Addresses
Primary practice location
363 W Northwest Hwy
Palatine, IL 60067-2414
Mailing address
216 S Arlington Heights Rd
Arlington HTS, IL 60005-1929
Phone (847) 221-4601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 748450 | Other | IL | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-072564 | IL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1639169683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 S ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600051929",
"telephone_number": "847-221-4601",
"fax_number": "847-221-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 W NORTHWEST HWY",
"city": "PALATINE",
"state": "IL",
"postal_code": "600672414",
"telephone_number": "847-221-4601",
"fax_number": "847-221-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "LINDA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036-072564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "748450",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.