Active NPI 1538168786 Individual Practitioner Male Practitioner

Dr. Edward H. Kolb , MD

Orthopaedic Surgery • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Kolb, MD is a certified Orthopaedic Surgery practicing in Bloomington, IL. With approximately 28 years of clinical experience since graduating from Rush Medical College Of Rush University in 1998, Dr. Kolb delivers high-quality medical care to the local community at 501A S TOWANDA BARNES RD STE 2.

Dr. Kolb maintains professional affiliations with Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S, Hopedale Medical Foundation, Gibson Community Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501a S Towanda Barnes Rd Ste 2

Bloomington, IL 617054031

Telephone 3096129002

Fax 3093910134

Associated Practice Facility / Clinic

🏢 Gibson Community Hospital Association Facility NPI 1881413714

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bloomington, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Bloomington, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kolb (28 Years) 28 Yrs

Bloomington Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	169	$251.28	$86.39
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	98	24	$54.00	$7.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	83	$257.49	$121.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$281.05	$107.11
27447 Replacement of knee joint, both sides of knee	63	59	$6421.63	$1264.27
20610 Aspiration and/or injection of fluid from large joint	50	45	$386.74	$68.35
27130 Replacement of thigh bone and hip joint with prosthesis	43	42	$6663.72	$1256.46
73221 Mri scan of arm joint without contrast	43	40	$3345.70	$139.28
72148 MRI scan of lower spinal canal	41	41	$3777.00	$109.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	39	36	$49.00	$15.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$441.79	$160.56
73721 Mri scan of leg joint without contrast	33	33	$3182.09	$131.49
73562 X-ray of knee, 3 views	33	33	$326.41	$48.95
73560 X-ray of knee, 1-2 views	29	25	$213.36	$34.98
73502 X-ray of hip, 2-3 views	25	24	$220.50	$43.57
64721 Release and/or relocation of hand nerve	21	16	$4714.48	$408.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$376.50	$126.83
73030 X-ray of shoulder, minimum of 2 views	18	17	$270.00	$35.75
26055 Incision of tendon covering	14	13	$2256.29	$255.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$67.00	$7.61
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$205.50	$36.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	136	$243.26	$85.42
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	75	21	$54.00	$6.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$269.16	$122.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$303.69	$108.40
27447 Replacement of knee joint, both sides of knee	39	33	$6738.05	$1294.63
73562 X-ray of knee, 3 views	39	39	$309.26	$44.43
20610 Aspiration and/or injection of fluid from large joint	35	32	$432.30	$69.95
73502 X-ray of hip, 2-3 views	33	30	$220.50	$43.77
73721 Mri scan of leg joint without contrast	30	29	$3088.50	$133.84
73560 X-ray of knee, 1-2 views	28	22	$207.58	$36.62
73221 Mri scan of arm joint without contrast	28	27	$3239.20	$133.77
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$5722.31	$1279.46
72148 MRI scan of lower spinal canal	24	23	$3628.25	$113.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$376.50	$127.62
64721 Release and/or relocation of hand nerve	22	19	$4994.91	$397.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$444.34	$155.39
73030 X-ray of shoulder, minimum of 2 views	18	14	$283.50	$37.92
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$205.50	$37.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	140	$241.04	$87.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	84	$266.51	$121.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	47	14	$52.72	$6.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$298.02	$107.83
73721 Mri scan of leg joint without contrast	40	37	$3088.50	$135.74
73560 X-ray of knee, 1-2 views	38	23	$201.46	$34.42
27447 Replacement of knee joint, both sides of knee	37	34	$7297.64	$1282.24
64721 Release and/or relocation of hand nerve	34	30	$4619.74	$406.47
73562 X-ray of knee, 3 views	33	32	$311.23	$47.78
20610 Aspiration and/or injection of fluid from large joint	31	25	$421.74	$71.02
72148 MRI scan of lower spinal canal	30	30	$3777.00	$118.50
73221 Mri scan of arm joint without contrast	29	27	$3127.50	$135.81
73502 X-ray of hip, 2-3 views	22	21	$220.50	$42.57
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$6983.33	$1295.57
73030 X-ray of shoulder, minimum of 2 views	16	11	$258.19	$31.49
26055 Incision of tendon covering	15	12	$2535.60	$211.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$376.50	$131.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$452.65	$163.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	179	$236.36	$88.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	92	$262.12	$122.77
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	75	21	$54.00	$6.65
20610 Aspiration and/or injection of fluid from large joint	65	50	$392.57	$67.76
73560 X-ray of knee, 1-2 views	61	45	$202.87	$34.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$292.74	$110.46
73562 X-ray of knee, 3 views	45	41	$267.20	$40.84
64721 Release and/or relocation of hand nerve	44	38	$4829.80	$425.10
73502 X-ray of hip, 2-3 views	37	31	$220.50	$44.14
76376 3d radiographic procedure	34	34	$194.77	$12.76
72148 MRI scan of lower spinal canal	34	34	$3672.00	$125.45
73721 Mri scan of leg joint without contrast	32	31	$3088.50	$138.31
27447 Replacement of knee joint, both sides of knee	31	27	$7237.77	$1306.91
J1030 Injection, methylprednisolone acetate, 40 mg	24	12	$21.00	$5.14
73221 Mri scan of arm joint without contrast	23	21	$3127.50	$141.41
73030 X-ray of shoulder, minimum of 2 views	21	19	$277.71	$37.21
26055 Incision of tendon covering	17	13	$2643.88	$240.45
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$7412.50	$1310.06
72141 MRI scan of upper spinal canal	13	13	$3753.00	$100.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$458.08	$165.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$67.00	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$95.00	$8.46
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$205.50	$37.78
36415 Insertion of needle into vein for collection of blood sample	11	11	$32.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	172	$278.93	$106.20
99213 Established patient office or other outpatient visit, typically 15 minutes	144	133	$213.95	$73.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	122	33	$54.00	$7.12
20610 Aspiration and/or injection of fluid from large joint	93	66	$373.68	$61.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$294.80	$105.07
73560 X-ray of knee, 1-2 views	82	42	$192.07	$32.19
73562 X-ray of knee, 3 views	71	53	$248.01	$37.53
73502 X-ray of hip, 2-3 views	51	36	$220.50	$41.39
J1030 Injection, methylprednisolone acetate, 40 mg	43	15	$22.00	$6.03
27447 Replacement of knee joint, both sides of knee	35	32	$7907.33	$1424.06
73030 X-ray of shoulder, minimum of 2 views	34	24	$250.15	$31.05
36415 Insertion of needle into vein for collection of blood sample	34	27	$32.00	$2.97
64721 Release and/or relocation of hand nerve	33	28	$4619.77	$372.99
73721 Mri scan of leg joint without contrast	32	30	$3088.50	$146.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	22	$67.00	$7.50
72148 MRI scan of lower spinal canal	22	22	$3777.00	$120.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$444.00	$138.45
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$9150.00	$1402.19
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$205.50	$36.15
73221 Mri scan of arm joint without contrast	17	17	$3127.50	$153.36
76376 3d radiographic procedure	15	13	$200.00	$12.32
80053 Blood test, comprehensive group of blood chemicals	13	12	$111.00	$10.43
81000 Manual urinalysis test with examination using microscope, non-automated	13	11	$40.00	$3.96
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$95.00	$8.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	173	$195.58	$104.09
99213 Established patient office or other outpatient visit, typically 15 minutes	180	151	$145.11	$72.25
36415 Insertion of needle into vein for collection of blood sample	136	71	$29.00	$2.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	119	34	$21.12	$6.78
20610 Aspiration and/or injection of fluid from large joint	104	77	$223.54	$59.25
73560 X-ray of knee, 1-2 views	68	39	$86.91	$29.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$212.93	$103.20
85610 Blood test, clotting time	64	33	$49.00	$4.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	57	45	$67.00	$8.46
73562 X-ray of knee, 3 views	56	44	$84.88	$34.91
73502 X-ray of hip, 2-3 views	56	41	$90.72	$39.31
J1030 Injection, methylprednisolone acetate, 40 mg	47	23	$21.00	$6.14
27447 Replacement of knee joint, both sides of knee	45	43	$8478.43	$1385.71
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	44	41	$116.00	$8.02
81000 Manual urinalysis test with examination using microscope, non-automated	41	34	$40.00	$3.87
80053 Blood test, comprehensive group of blood chemicals	38	32	$111.00	$11.51
73610 X-ray of ankle, minimum of 3 views	32	15	$92.34	$29.95
80048 Blood test, basic group of blood chemicals (calcium, total)	31	27	$95.00	$9.21
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	26	11	$319.00	$141.02
73721 Mri scan of leg joint without contrast	25	22	$889.70	$153.45
73030 X-ray of shoulder, minimum of 2 views	23	20	$68.22	$26.82
27130 Replacement of thigh bone and hip joint with prosthesis	22	21	$13338.45	$1331.52
72148 MRI scan of lower spinal canal	17	17	$932.53	$144.07
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	13	$2500.00	$1147.34
64721 Release and/or relocation of hand nerve	15	13	$4089.70	$386.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$183.60	$141.36
73221 Mri scan of arm joint without contrast	15	15	$711.67	$151.37
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	15	14	$63.00	$7.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$104.32	$51.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$322.82	$161.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	173	$104.87	$59.96
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	189	37	$10.28	$7.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	147	$147.48	$89.79
20610 Aspiration and/or injection of fluid from large joint	117	71	$156.38	$54.68
36415 Insertion of needle into vein for collection of blood sample	95	58	$29.00	$2.94
73560 X-ray of knee, 1-2 views	66	34	$30.83	$27.64
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	60	58	$116.00	$7.88
73502 X-ray of hip, 2-3 views	59	40	$57.09	$35.43
J1030 Injection, methylprednisolone acetate, 40 mg	59	25	$19.00	$6.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$193.98	$103.87
85610 Blood test, clotting time	51	27	$49.00	$4.75
73562 X-ray of knee, 3 views	46	34	$37.66	$31.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$215.69	$157.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	40	$67.00	$9.40
27447 Replacement of knee joint, both sides of knee	38	37	$10246.06	$1324.11
80053 Blood test, comprehensive group of blood chemicals	35	33	$111.00	$12.78
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	32	14	$234.13	$144.97
72148 MRI scan of lower spinal canal	27	26	$592.21	$130.40
73030 X-ray of shoulder, minimum of 2 views	27	20	$46.18	$23.72
20610 Aspiration and/or injection of fluid from large joint	26	24	$61.60	$23.61
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$11264.98	$1357.04
73721 Mri scan of leg joint without contrast	24	24	$484.13	$165.83
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$35.72	$31.25
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	18	$63.00	$7.82
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$95.00	$10.23
64721 Release and/or relocation of hand nerve	15	12	$2940.95	$399.32
73221 Mri scan of arm joint without contrast	14	14	$474.42	$161.17
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$74.55	$18.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	240	182	$92.22	$65.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	186	53	$10.33	$6.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	113	$150.04	$96.45
20610 Aspiration and/or injection of fluid from large joint	119	81	$182.79	$55.33
73560 X-ray of knee, 1-2 views	77	43	$65.91	$26.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$153.53	$98.54
73502 X-ray of hip, 2-3 views	60	40	$67.59	$35.71
36415 Insertion of needle into vein for collection of blood sample	54	41	$29.00	$2.94
73562 X-ray of knee, 3 views	49	40	$64.21	$29.87
J1030 Injection, methylprednisolone acetate, 40 mg	42	19	$14.00	$5.50
20610 Aspiration and/or injection of fluid from large joint	39	34	$75.97	$24.10
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	37	36	$111.00	$7.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	34	$65.00	$10.16
80053 Blood test, comprehensive group of blood chemicals	36	34	$108.00	$13.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$176.06	$149.97
27447 Replacement of knee joint, both sides of knee	28	28	$5358.16	$1213.30
73030 X-ray of shoulder, minimum of 2 views	23	19	$81.06	$23.77
73721 Mri scan of leg joint without contrast	22	21	$275.71	$146.96
85610 Blood test, clotting time	21	11	$48.00	$5.16
73221 Mri scan of arm joint without contrast	20	20	$364.64	$138.93
64721 Release and/or relocation of hand nerve	17	14	$2578.54	$315.74
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$116.20	$29.03
72148 MRI scan of lower spinal canal	14	14	$282.34	$113.05

Medical Specialties & State Licenses

CMS Verified: 2025-10-02

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036-108279

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0361082791 (IL)

Hospital & Practice Group Affiliations

Gibson Community Hospital Association

1120 N Melvin St, Gibson City, IL 609361477

Phone: 2177844251

Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S

2200 Fort Jesse Rd, Normal, IL 617616290

Phone: 3092680000

Christie Clinic, Pllc

1120 N Melvin St, Gibson City, IL 609361477

Phone: 2177844251

Hopedale Medical Foundation

107 Tremont St, Hoepdale, IL 617477525

Phone: 3094493321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Jean Kolb , MD

Pediatrics

NPI 1396844189

Doctor of Medicine (M.D.)

Neil Atkins , MPT

Physical Therapist

NPI 1467451450

Master of Physical Therapy

David Kieser , APN, FNP

Nurse Practitioner - Family

NPI 1841488855

Advanced Practice Nurse, Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location October 02, 2025

Registered at 501A S TOWANDA BARNES RD STE 2, BLOOMINGTON, IL 617054031 (Tel: 3096129002)

📍

Updated Business Mailing Address October 02, 2025

Registered at 1120 N MELVIN ST, GIBSON CITY, IL 609361477 (Tel: 2177844251)

📍

Updated Practice Location January 05, 2022

Registered at 3101 FIELDS SOUTH DR, CHAMPAIGN, IL 618223743 (Tel: 2173661237)

📍

Updated Business Mailing Address January 05, 2022

Registered at 101 W UNIVERSITY AVE, CHAMPAIGN, IL 618203909 (Tel: 2173661237)

📍

Updated Business Mailing Address December 04, 2019

Registered at 2200 FORT JESSE RD, STE 250, NORMAL, IL 617616290 (Tel: 3092680000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Orthopaedic Surgery (License #036-108279 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2200 FORT JESSE RD, SUITE 250, NORMAL, IL 617616286 (Tel: 3094541616)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1645, BLOOMINGTON, IL 617021645 (Tel: 3094541616)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD KOLB, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery

🟢

Initial NPI Registration & Enumeration July 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538168786

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2005

Last Update: October 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1120 N Melvin St

Gibson City, IL 609361477

Phone: 2177844251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.