MEDICARE: DR. TIMOTHY ROBERT GIBBONS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070.020248	IL

General Provider Information

NPI Number	:	1093140584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY ROBERT GIBBONS PT

Provider Business Mailing Address
First Line	:	933 W VAN BUREN ST APT 316
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3581
Country	:	US
Telephone Number	:	401-787-7325
Fax Number	:

Provider Business Practice Location Address
First Line	:	1841 W ARMY TRAIL RD
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1901
Country	:	US
Telephone Number	:	630-238-9235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	09/04/2013

Similar Medicare Providers

1225036056 — JOHN P MORAN M.D.
Practice Location Address:

1845 W ARMY TRAIL RD
ADDISON, IL
60101-1901

Practice Phone: 630-629-5100
Practice Fax: 630-629-5104

1851464549 — PROGRESSIVE MEDICAL CENTER SC
Practice Location Address:

1841 W ARMY TRAIL RD
ADDISON, IL
60101-1901

Practice Phone: 630-238-9235
Practice Fax: 630-238-0426

1144370990 — ROLANDO HENRIQUEZ M.D.
Practice Location Address:

1841 W ARMY TRAIL RD
ADDISON, IL
60101-1901

Practice Phone: 630-238-9235
Practice Fax:

1407996564 — AUSENCIO NUNEZ M.D
Practice Location Address:

1841 W ARMY TRAIL RD , R
ADDISON, IL
60101-1901

Practice Phone: 630-238-9235
Practice Fax: 630-238-0426

1750634630 — KERWIN FLORA PT
Practice Location Address:

1841 W ARMY TRAIL RD
ADDISON, IL
60101-1901

Practice Phone: 630-238-9235
Practice Fax:

1730517681 — MIDWEST PRIMARY CARE ASSOCIATES,LTD
Practice Location Address:

1845 W ARMY TRAIL RD
ADDISON, IL
60101-1901

Practice Phone: 630-624-9638
Practice Fax: 630-559-0872

Directions to “ DR. TIMOTHY ROBERT GIBBONS PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.