Individual provider · Type 1 NPI

Patrick Gerard Gannon, DO

General Practice Physician · Dekalb, IL

NPI number 1720187453 Active

Practice location

626 Bethany Rd, 3251 Commerce Drive
Dekalb, IL 60115-4939

Mailing address

2807 Brittany Ct
St. Charles, IL 60175-5161

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1720187453

Patrick Gerard Gannon, DO's National Provider Identifier is 1720187453, issued on Sep 21, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dekalb, IL. The record was last updated on Sep 11, 2025.