1. Home
  2. Directory
  3. Illinois
  4. Matteson
  5. Nurse Practitioner
  6. NPI Profile

MARY E GIBSON APN
NPI 1699714907
Nurse Practitioner - Adult Health in Matteson, IL

Active since June 05, 2006
4749 LINCOLN MALL DR STE 204, MATTESON, IL 60443(708) 481-4200(708) 481-3320 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary E Gibson Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY E GIBSON APN (NPI 1699714907) is an individual adult health provider in Matteson, Illinois, licensed in Illinois (209-000390) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1699714907
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY E GIBSONCredential: APN
Location Address4749 LINCOLN MALL DR STE 204Matteson, IL 60443-3806
Mailing Address7804 W Golf Dr Apt 2bPalos Heights, IL 60463-3067 · (708) 481-4200 · Fax (708) 481-3302
Phone(708) 481-4200
Fax(708) 481-3320
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 15, 2019
✔ NPI 1699714907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209-000390
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-000390 (IL)
4749 LINCOLN MALL DR STE 204, Matteson, IL 60443
Open in Google Maps ↗

Other Identifiers 1

Other01619268IL · Blueshield Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VITALTOUCH HEALTH NETWORK INCORPORATED
In Home Supportive Care
4749 LINCOLN MALL DR STE 204
MATTESON, IL 60443
Cook County (708) 898-8831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gibson's NPI number?

The NPI number for Mary Gibson is 1699714907. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Mary Gibson located?

Mary Gibson practices at 4749 Lincoln Mall Dr Ste 204, Matteson, IL 60443. The listed phone number is (708) 481-4200.

What is Mary Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Gibson was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.