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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295316248

Dr. Tara Gibbons, MD is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 327-9124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125.077557 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.077557 (IL)

Record details

NPI number1295316248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESJuly 31, 2021
Certification dateJuly 31, 2021

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