location
search-icon
person
Dr. Patrick Gerard Gannon, DO
General Practice Physician in Dekalb, Illinois
NPI 1720187453

Patrick Gerard Gannon is a General Practice Physician based in St Charles, IL. Patrick Gerard Gannon practices in Dekalb, IL and has the professional credentials of DO. The NPI Number for Patrick Gerard Gannon is 1720187453 and holds a License No. (Illinois).

The current practice location address for Patrick Gerard Gannon is 626 Bethany Rd, Dekalb, IL and can be reached out via phone at 815-756-1521.

Location: 626 Bethany Rd, Dekalb, IL, 60175-5161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720187453
Provider Name
Patrick Gerard Gannon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
626 Bethany Rd, Dekalb, IL, 60175-5161
Phone Number
815-756-1521
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
237087041;651249587 01 IL TAX ID NUMBER
021940024;0031940152 01 IL BCBS PRVIDER #
institution
Provider Business Practice Location Address Details
Address
626 Bethany Rd
City
Dekalb
State
Illinois
Zip
60115-4939
Phone Number
815-756-1521
Fax Number
person
Provider Business Mailing Address Details
Address
626 Bethany Rd
City
Dekalb
State
Illinois
Zip
60115-4939
Phone Number
815-756-1521
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
(Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.