Dr. Mary L. Gannon is a Oak Brook, Illinois based psychiatrist who is specialized in Addiction Medicine. Active license number of Dr. Mary L. Gannon is 036068239 for Addiction Medicine in Illinois. Her current practice location is 2625 Butterfield Rd, Suite 103 W, Oak Brook. Patients can reach her at 630-981-4886. Dr. Mary L. Gannon is M.D.,C.A.D.C. in Addiction Medicine and her NPI number (Unique professional ID assigned by NPPES) is 1235268541. Dr. Mary L. Gannon focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Profile:
Dr. Mary L. Gannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Mary L. Gannon
Specialization:
Addiction Medicine
Gender:
Female
Credentials:
M.D.,C.A.D.C.
Practice Address:
2625 Butterfield Rd, Suite 103 W, Oak Brook, Illinois, 60523-1234
Phone:
630-981-4886
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1235268541
NPI Enumeration Date:
04 Mar, 2007
NPI Last Update On:
17 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary L. Gannon are as mentioned below.
License Number
Specialization
State
Status
036068239
Addiction Medicine
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary L. Gannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
234667000
Other
Kentucky
MAGELLAN BEHAVIORAL HEALT
133348420017
Other
Kentucky
HUMANA
GANNMARY
Other
Kentucky
CORPHEALTH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Mary L. Gannon 326 Grandview Ave, Glen Ellyn, Illinois
Zip:
60137-5220
Phone Number:
630-981-4886
Patients can reach Dr. Mary L. Gannon at 2625 Butterfield Rd, Suite 103 W, Oak Brook, Illinois or can call to book an appointment on 630-981-4886.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.