Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ROBERT GANNON, PT
ActiveMR. MARK ROBERT GANNON, PT is a Physical Therapy Assistant healthcare provider located in OAK BROOK, Illinois. NPI 1093737397 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OAK BROOK, IL
Registration Details
- NPI Number
- 1093737397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.018276160025 yrs)
- Last Updated
- Jun 7, 2019
- Licenses
-
070024237 (IL)6877 (AZ)
Practice Information
- Address
-
2011 YORK RD STE 1500OAK BROOK, IL, 60523Browse IL providers · Browse ZIP 60523
- Phone
- 8776326637
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in OAK BROOK, IL
| Name | Credential | NPI |
|---|---|---|
| CORINNE S MEYER | PT | 1437134798 |
| MR. MARK A KAUFMAN | PT, ATC | 1730148776 |
| ANNA PASTERIS | PT | 1508811415 |
| MISS MICHELLE LYNN WALTERS | MPT | 1831121839 |
| JAMES T SPAHN | PT, DPT | 1053334268 |
| MARTIN O SHEA | P.T. | 1780695569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.