NPI
Gabriels Pride Pediatrics
Phone (618) 624-7391 · Fax (618) 624-7392 · NPI 1124285028
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-05-19
- Last updated
- 2008-05-19
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Specialties
Licenses
- License IL
- 036095488
Location
- Practice location
- 1337 Park Plaza Drive, Suite 1
- City
- Ofallon IL
- Postal code
- 62269-1777
- Phone
- (618) 624-7391
- Fax
- (618) 624-7392
Organization contact
- Name
- Thomas Levvaulh
- Title
- MD President Owner
- Phone
- (618) 624-7391
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Ofallon, IL. 21 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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