Provider Demographics
NPI:1891186433
Name:GIBEAU, CHELSEA LEIGH (HIS)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:LEIGH
Last Name:GIBEAU
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:LEIGH
Other - Last Name:HARINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:
Practice Address - Street 1:2345 FAIRVIEW AVENUE N
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113
Practice Address - Country:US
Practice Address - Phone:651-633-4642
Practice Address - Fax:651-633-4643
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
MN2754237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist