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DR. PATRICK GERARD GANNON DO
NPI 1720187453
General Practice in Dekalb, IL

Active since September 21, 2006
626 BETHANY RD, 3251 COMMERCE DRIVE, DEKALB, IL 60115(815) 756-1521 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Patrick Gerard Gannon Do NPPES

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

DR. PATRICK GERARD GANNON DO (NPI 1720187453) is an individual general practice provider in Dekalb, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720187453
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PATRICK GERARD GANNONCredential: DO
Location Address626 BETHANY RD, 3251 COMMERCE DRIVEDekalb, IL 60115-4939
Mailing Address2807 Brittany CtSt Charles, IL 60175-5161
Phone(815) 756-1521
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720187453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
Also ListedEmergency MedicineTaxonomy 207P00000X

Other Identifiers 2

Other237087041;651249587IL · Tax Id Number
Other021940024;0031940152IL · Bcbs Prvider #

Other Providers at the Same Location NPPES 16

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

JEANNE M JOHNSTON D.O
Emergency Medicine
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 756-1521
MELISSA ROMANO RD
Dietitian, Registered
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 748-8378
MICHELLE QUEZADA
Registered Nurse (Diabetes Educator)
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 748-8378
CONSULTANTS IN DIAGNOSTIC IMAGING SC
Radiology (Diagnostic Radiology)
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 756-1521
LAURA S SCHULZE M.D.
Emergency Medicine
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 756-1521
BRUCE BRANTMAN M.D.
Emergency Medicine
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 756-1521
SATYA P MANAM M.D.
Anesthesiology
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 748-8993
JULIE CRYSTAL RIETDYK MS, OTR/L
Occupational Therapist
626 BETHANY RD
DEKALB, IL 60115
Dekalb County (815) 748-8900

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 Patrick Gannon's NPI number?

The NPI number for Patrick Gannon is 1720187453. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Patrick Gannon located?

Patrick Gannon practices at 626 Bethany Rd 3251 Commerce Drive, Dekalb, IL 60115. The listed phone number is (815) 756-1521.

What is Patrick Gannon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Patrick Gannon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.