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Dr. Mary L. Gannon, MD,CADC
Addiction Medicine (Psychiatry & Neurology) Physician in Oak Brook, Illinois
NPI 1235268541

Mary L. Gannon is an Addiction Medicine (Psychiatry & Neurology) Physician based in Glen Ellyn, IL and is specialized in Addiction Medicine. Mary L. Gannon practices in Oak Brook, IL and has the professional credentials of MD,CADC. The NPI Number for Mary L. Gannon is 1235268541 and holds a License No. 036068239 (Illinois).

The current practice location address for Mary L. Gannon is 2625 Butterfield Rd, Oak Brook, IL and can be reached out via phone at 630-981-4886.

Location: 2625 Butterfield Rd, Oak Brook, IL, 60137-5220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235268541
Provider Name
Mary L. Gannon
Credential
MD,CADC
Provider Entity Type
Individual
Gender
Female
Address
2625 Butterfield Rd, Oak Brook, IL, 60137-5220
Phone Number
630-981-4886
Fax Number
Provider Enumeration Date
03/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
234667000 01 KY MAGELLAN BEHAVIORAL HEALT
133348420017 01 KY HUMANA
GANNMARY 01 KY CORPHEALTH
institution
Provider Business Practice Location Address Details
Address
2625 Butterfield Rd
City
Oak Brook
State
Illinois
Zip
60523-1234
Phone Number
630-981-4886
Fax Number
person
Provider Business Mailing Address Details
Address
2625 Butterfield Rd
City
Oak Brook
State
Illinois
Zip
60523-1234
Phone Number
630-981-4886
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
036068239 (Illinois)
Definition
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
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