Individual
GAIL GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
9697 191ST ST STE 100, MOKENA, IL 60448-8609
(630) 646-6540
(306) 646-6542
Mailing address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 834-7857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001307
IL
363LF0000X
Family Nurse Practitioner
277001307
IL
Other
Enumeration date
08/19/2013
Last updated
02/12/2024
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