Healthcare Provider Details
I. General information
NPI: 1306714068
Provider Name (Legal Business Name): GBCB HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6424 STONE RIDGE DR
QUINCY IL
62305-8824
US
IV. Provider business mailing address
6424 STONE RIDGE DR
QUINCY IL
62305-8824
US
V. Phone/Fax
- Phone: 217-779-8335
- Fax: 844-412-9773
- Phone: 217-779-8335
- Fax: 844-412-9773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHAKA
BATLEY
Title or Position: FOUNDER/OWNER
Credential: DNP, FPA-APRN, MBA
Phone: 319-520-5342