Individual provider · Type 1 NPI

Mary L. Gannon, MD, C.A.D.C.

Addiction Medicine (Psychiatry & Neurology) Physician · Oak Brook, IL

NPI number 1235268541 Active

Practice location

2625 Butterfield Rd, Suite 103 W
Oak Brook, IL 60523-1234

Mailing address

326 Grandview Ave
Glen Ellyn, IL 60137-5220

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X036068239 (IL)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

64 other providers at this address

About NPI 1235268541

Mary L. Gannon, MD, C.A.D.C.'s National Provider Identifier is 1235268541, issued on Mar 4, 2007. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Oak Brook, IL. The record was last updated on May 17, 2011.