DR. MARY L. GANNON M.D.,C.A.D.C.
NPI 1235268541
Psychiatry & Neurology - Addiction Medicine in Oak Brook, IL

NPI Status: Active since March 04, 2007

Contact Information

2625 BUTTERFIELD RD
SUITE 103 W
OAK BROOK, IL
ZIP 60523
Phone: (630) 981-4886

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Addiction Medicine

About MARY GANNON

This page provides the complete NPI Profile along with additional information for Mary Gannon, a provider established in Oak Brook, Illinois with a medical specialization in Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1235268541 assigned on March 2007. The practitioner's primary taxonomy code is 2084A0401X with license number 036068239 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1235268541
Provider Name
DR. MARY L. GANNON M.D.,C.A.D.C.
Gender
Female
Entity Type
Individual
Location Address
2625 BUTTERFIELD RD SUITE 103 W OAK BROOK, IL 60523
Location Phone
(630) 981-4886
Mailing Address
326 GRANDVIEW AVE GLEN ELLYN, IL 60137
Mailing Phone
(630) 981-4886
Is Sole Proprietor?
Yes
Enumeration Date
03-04-2007
Last Update Date
05-17-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
License No.
036068239
License State
IL
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
133348420017OTHER (01)KYHUMANA
GANNMARYOTHER (01)KYCORPHEALTH
234667000OTHER (01)KYMAGELLAN BEHAVIORAL HEALT

Reviews for DR. MARY L. GANNON M.D.,C.A.D.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235268541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265461658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 6 + 1 + 6 + 5 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1235268541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023016565 YVONNE D. ANDERSON LCSW, CADC, MISA II
Individual
Counselor (Addiction (Substance Use Disorder))2625 BUTTERFIELD RD SUITE 101W
OAK BROOK, IL 60523
(630) 574-2010
1518966365MR. HANS GREGORY LONNROTH LCSW
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 101W
OAK BROOK, IL 60523
(630) 574-2010
1043278997 DEBORA ROMEO LCSW
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 101W
OAK BROOK, IL 60523
(847) 849-9350
1245283829AAT HOME HEALTHCARE, INC
Organization
Home Health2625 BUTTERFIELD RD SUITE 200C
OAK BROOK, IL 60523
(630) 571-6698
1275691305 SULEMAN A MASTERS
Individual
Physical Therapist2625 BUTTERFIELD RD SUITE # 308 SOUTH
OAK BROOK, IL 60523
(630) 573-1979
1760540983 DAVID L TAYLOR
Individual
Physical Therapist2625 BUTTERFIELD RD SUITE 308 SOUTH
OAK BROOK, IL 60523
(630) 573-1979
1518020007 KEVIN J DUFFY II
Individual
Physical Therapist2625 BUTTERFIELD RD SUITE 308 SOUTH
OAK BROOK, IL 60523
(630) 573-1979
1700949203 KIM DORSEY
Individual
Occupational Therapist2625 BUTTERFIELD RD SUITE # 308 SOUTH
OAK BROOK, IL 60523
(630) 573-1979
1356474928DR. SHIRLEY ALLEN MAIDES-KEANE PH.D.
Individual
Psychologist (Clinical)2625 BUTTERFIELD RD SUITE 138 SOUTH
OAK BROOK, IL 60523
(630) 990-1919
1336356195 JULIE RUTKOWSKI
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 103W
OAK BROOK, IL 60523
(773) 495-3146
1609078260MS. VALERIE JEAN KRISTOPHER LCSW
Individual
Counselor2625 BUTTERFIELD RD SUITE 101W
OAK BROOK, IL 60523
(708) 557-7077
1801083308 ANTHONY JOSEPH MADONIA L.C.S.W.
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 103W
OAK BROOK, IL 60523
(847) 741-8000
1245415017 REBECCA L GUSSE LCSW
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 103W
OAK BROOK, IL 60523
(630) 585-7549
1134353493SOMEONE TO TALK TO, INC.
Organization
Counselor (Professional)2625 BUTTERFIELD RD SUITE 138 SOUTH
OAK BROOK, IL 60523
(708) 785-0785
1710298690BETTER CHOICE HOME HEALTH, INC.
Organization
Home Health2625 BUTTERFIELD RD SUITE 303W
OAK BROOK, IL 60523
(630) 586-2568
1518252659MRS. MARY KATHRYN HORAN LCSW
Individual
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 138S
OAK BROOK, IL 60523
(708) 508-9981
1356626683MARY K HORAN LCSW, LLC
Organization
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 138S
OAK BROOK, IL 60523
(708) 508-9981
1427326818THE HEARTSPEAK INSTITUTE
Organization
Social Worker (Clinical)2625 BUTTERFIELD RD SUITE 103W
OAK BROOK, IL 60523
(630) 590-3976
1861750341LIFE TO THE FULLEST LLC
Organization
Community/Behavioral Health2625 BUTTERFIELD RD SUITE 138S
OAK BROOK, IL 60523
(630) 537-0124
1497002638MR. ROBERT REIF PT
Individual
Physical Therapist2625 BUTTERFIELD RD SUITE 300S
OAK BROOK, IL 60523
(360) 579-1979

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235268541, enumerated in the NPI registry as an "individual" on March 04, 2007

The provider is located at 2625 Butterfield Rd Suite 103 W Oak Brook, Il 60523 and the phone number is (630) 981-4886

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084A0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Humana, Medicare, Medicaid and Magellan Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.