Healthcare Provider Details

I. General information

NPI: 1114877792
Provider Name (Legal Business Name): CHRISTINA ELIZABETH GIBBS-RAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 GRANDSTAND PL
ELGIN IL
60123-6603
US

IV. Provider business mailing address

1845 GRANDSTAND PL
ELGIN IL
60123-6603
US

V. Phone/Fax

Practice location:
  • Phone: 847-695-0484
  • Fax:
Mailing address:
  • Phone: 847-695-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: