Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY L. GANNON, M.D.,C.A.D.C.
Active Sole ProprietorDR. MARY L. GANNON, M.D.,C.A.D.C. is a Addiction Psychiatry healthcare provider located in OAK BROOK, Illinois. NPI 1235268541 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · OAK BROOK, IL
Registration Details
- NPI Number
- 1235268541
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2007 (19.471376576476 yrs)
- Last Updated
- May 17, 2011
- License
-
036068239 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2625 BUTTERFIELD RDSUITE 103 WOAK BROOK, IL, 605231234Browse IL providers · Browse ZIP 60523
- Phone
- 6309814886
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
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.