Doctor profile · Federal record
Dr. Jack Gibson, M.D.
Obstetrics & Gynecology Physician · Peoria, IL
- NPI 1346235777
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
530 Ne Glen Oak Ave
Peoria, IL 616370001
(309) 696-2297
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- July 18, 2019
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Illinois #036064619
- Medicaid
- IL #036064619
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346235777. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, INC. | 1 | $20.46 |
By nature of payment
Frequently asked questions
What is Dr. Jack Gibson's medical specialty?
Dr. Jack Gibson practices Obstetrics & Gynecology Physician in Peoria, IL.
Where does Dr. Jack Gibson practice?
Dr. Jack Gibson practices at 530 Ne Glen Oak Ave, Peoria, IL 616370001. Office phone: 3096962297.
What is Dr. Jack Gibson's NPI?
Dr. Jack Gibson's National Provider Identifier (NPI) is 1346235777, issued by NPPES.