Mary L. Gannon, M.D.,C.A.D.C.
Addiction Psychiatry · Oak Brook, IL
UnclaimedM.D.,C.A.D.C.NPI 1235268541
- Primary taxonomy
- 2084A0401X
- Enumerated
- 2007-03-04
- Practice location
- Oak Brook, IL
- Last NPPES update
- 2011-05-17
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2020
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.