DR. PATRICK GERARD GANNON DO NPI 1720187453

NPI Information

  • NPI: 1720187453
  • Provider Name: DR. PATRICK GERARD GANNON, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 626 BETHANY RD
    3251 COMMERCE DRIVE
    DEKALB, IL
    ZIP 60115
  • Phone: (815) 756-1521

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NPI Details

DR. Patrick Gerard Gannon, DO is a general practice in Dekalb, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Patrick Gerard Gannon, DO NPI is 1720187453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

626 BETHANY RD
3251 COMMERCE DRIVE
DEKALB, IL
ZIP 60115-939
Phone: (815) 756-1521

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineILLINOISNo
2208D00000XGeneral PracticeILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1237087041;651249587OTHERILLINOISTAX ID NUMBER
2021940024;0031940152OTHERILLINOISBCBS PRVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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