Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gavin Jude Baumgart, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861281321

Dr. Gavin Jude Baumgart, MD is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (630) 901-9494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1861281321
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateApril 10, 2025
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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