Patrick Gerard Gannon, DO
General Practice Physician · Dekalb, IL
Practice location
626 Bethany Rd3251 Commerce Drive
Dekalb, IL 60115-4939
- Phone
- (815) 756-1521
NPI record
- NPI
- 1720187453
- Entity type
- Individual (Type 1)
- Enumeration date
- September 21, 2006
- Last updated
- September 11, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
— | IL |
| Emergency Medicine Physician | 207P00000X |
— | IL |
Mailing address
2807 Brittany CtSt Charles, IL 60175-5161
About Dr. Gannon
Patrick Gerard Gannon, DO is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 626 Bethany Rd, 3251 Commerce Drive, Dekalb, IL 60115-4939. The NPI number 1720187453 was assigned on September 21, 2006 and the record was last updated on September 11, 2025.
Frequently asked questions
What is the NPI number of Patrick Gerard Gannon, DO?
The NPI number is 1720187453.
What is the phone number of Dr. Gannon?
The phone number listed for the practice location is (815) 756-1521.
Where is Dr. Gannon located?
626 Bethany Rd, 3251 Commerce Drive, Dekalb, IL 60115-4939.
What is the taxonomy code for Dr. Gannon?
The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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