Dr. Mary L. Gannon
M.D.,C.A.D.C. | Psychiatry | Addiction Medicine
2625 Butterfield Rd, Suite 103 W, Oak Brook
Illinois, 60523-1234
630-981-4886 Maps & DirectionsDr. 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.