Individual
DR. PATRICK GERARD GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
626 BETHANY RD, 3251 COMMERCE DRIVE, DEKALB, IL 60115-4939
(815) 756-1521
Mailing address
2807 BRITTANY CT, ST CHARLES, IL 60175-5161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
IL
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021940024;0031940152
BCBS PRVIDER #
IL
01
—
237087041;651249587
TAX ID NUMBER
IL
Enumeration date
09/21/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us