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

Q: What is the provider's specialty?

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

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: July 19, 2026.

On this page

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

Open in Google Maps ↗