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

Active since March 04, 2007
2625 BUTTERFIELD RD, SUITE 103 W, OAK BROOK, IL 60523(630) 981-4886 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary L. Gannon M.d.,c.a.d.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY L. GANNON M.D.,C.A.D.C. (NPI 1235268541) is an individual addiction medicine provider in Oak Brook, Illinois, licensed in Illinois (036068239) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235268541
Entity TypeIndividualFemale
Primary Taxonomy2084A0401X
Provider Legal NameDR. MARY L. GANNONCredential: M.D.,C.A.D.C.
Location Address2625 BUTTERFIELD RD, SUITE 103 WOak Brook, IL 60523-1234
Mailing Address326 Grandview AveGlen Ellyn, IL 60137-5220 · (630) 981-4886
Phone(630) 981-4886
Sole ProprietorYes
Enumeration DateMarch 4, 2007
Last NPPES UpdateMay 17, 2011
✔ NPI 1235268541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in IL · 036068239
Definition
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
2625 BUTTERFIELD RD, Oak Brook, IL 60523
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Other Identifiers 3

Other133348420017KY · Humana
OtherGANNMARYKY · Corphealth
Other234667000KY · Magellan Behavioral Healt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MULSO ASSOCIATES COUNSELING, LTD
Counselor (Mental Health)
2625 BUTTERFIELD RD, SUITE 138S
OAK BROOK, IL 60523
Dupage County (847) 338-6101
MS. MARY KATHLEEN O'HARA LCPC
Counselor (Professional)
2625 BUTTERFIELD RD, SUITE 103W
OAK BROOK, IL 60523
Dupage County (630) 571-8784
YVONNE D. ANDERSON LCSW, CADC, MISA II
Counselor (Addiction (Substance Use Disorder))
2625 BUTTERFIELD RD, SUITE 101W
OAK BROOK, IL 60523
Dupage County (630) 574-2010
DEBORA ROMEO LCSW
Social Worker (Clinical)
2625 BUTTERFIELD RD, SUITE 101W
OAK BROOK, IL 60523
Dupage County (847) 849-9350
MR. MARK EUGENE ZIPPRICH LCPC
Counselor (Professional)
2625 BUTTERFIELD RD, SUITE 138S
OAK BROOK, IL 60523
Dupage County (630) 234-5553
WENDY LORENA UMANA BSN
Registered Nurse (Home Health)
2625 BUTTERFIELD RD
OAK BROOK, IL 60523
Dupage County (630) 510-5905
AZMIN PEDRAZA
Social Worker
2625 BUTTERFIELD RD
OAK BROOK, IL 60523
Dupage County (630) 586-0900
DR. BRIAN RUTECKI DC
Chiropractor
2625 BUTTERFIELD RD, STE 301N
OAK BROOK, IL 60523
Dupage County (630) 320-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gannon's NPI number?

The NPI number for Mary Gannon is 1235268541. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Mary Gannon located?

Mary Gannon practices at 2625 Butterfield Rd Suite 103 W, Oak Brook, IL 60523. The listed phone number is (630) 981-4886.

What is Mary Gannon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Mary Gannon was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.