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1235268541
MARY L. GANNON
OAK BROOK, IL
NPI
1235268541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: IL 036068239)
Enumeration Date
2007-03-04
Last Update Date
2011-05-17
Business Address
Dr. MARY L. GANNON M.D.,C.A.D.C.
2625 BUTTERFIELD RD SUITE 103 W
OAK BROOK, IL 60523-1234
Phone number: 630-981-4886
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Mailing Address
Dr. MARY L. GANNON M.D.,C.A.D.C.
326 GRANDVIEW AVE
GLEN ELLYN, IL 60137-5220
Phone number: 630-981-4886
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