DR. PATRICK J. GANNON (NPI# 1093925968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093925968 |
| Entity Type | Individual |
| Full Name | DR. PATRICK J. GANNON |
| Credential | D.D.S. |
| Practice Address |
7480 W College Dr Suite 202 Palos Heights IL 60463-1165 |
| Practice Telephone | 7083612288 |
| Practice Fax Number | 7083618522 |
| Mailing Telephone | 7083612288 |
| Mailing Fax Number | 7083618522 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264930 | Patrick Lawrence Gannon | Optometrist | 7205 Mills Civic Pkwy, West Des Moines, IA 50266-8140 | 2006-05-22 |
| 1720187453 | Patrick Gerard Gannon | Emergency Medicine | 626 Bethany Rd, 3251 Commerce Drive, Dekalb, IL 60115-4939 | 2006-09-21 |
| 1578512406 | Patrick J Gannon | Psychiatry & Neurology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-05-08 |
| 1790747426 | Patrick Russell Gannon | Orthopaedic Surgery | 1 E Clark Bass Blvd, Suite 210, Mcalester, OK 74501-4209 | 2006-04-06 |
| Street Address |
7480 W COLLEGE DR SUITE 202 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841225349 | Piyush C Buch | Psychiatry & Neurology | 7480 W College Dr, Suite 203, Palos Heights, IL 60463-1165 | 2006-07-12 |
| 1962976878 | Margaret Ann Moss I | Social Worker | 7480 W College Dr, Palos Heights, IL 60463-1191 | 2019-01-14 |
| 1316120777 | Laura A Miller-falls | Social Worker | 7480 W College Dr, Palos Heights, IL 60463-1165 | 2007-12-07 |
| 1851599823 | Piyush C. Buch, M.d., P.C. | Counselor | 7480 W College Dr, Suite 203, Palos Heights, IL 60463-1165 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851210 | Christopher Savas | Dentist | 7001 W 127th St Ste 103, Palos Heights, IL 60463-1573 | 2017-06-12 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1609014158 | Jeffrey Scott Mulac | Dentist | 12606 South Harlem Avenue, Palos Heights, IL 60463-1428 | 2009-01-21 |
| 1265698385 | Kevin Michael King | Dentist | 12201 S Harlem Ave, Palos Heights, IL 60463-1474 | 2008-07-29 |
| 1528269461 | Ronald A. George | Dentist | 7480 W College Dr Ste 202, Palos Heights, IL 60463-1195 | 2007-05-29 |
| 1770614778 | Brian Joseph Gambla | Dentist | 7350 W College Dr Ste 105, Palos Heights, IL 60463-1187 | 2007-03-08 |
| 1699835058 | Christian Don Kubilius | Dentist | 11950 S Harlem Av, Ste 102, Palos Heights, IL 60463 | 2006-12-08 |
| 1568534493 | Philip H. Collins | Dentist | 7132 W 127th St, Palos Heights, IL 60463-1560 | 2006-11-15 |
| 1841369543 | Steven J. Nicorata, D.d.s., P.C. | Dentist | 6741 W 127th St, Palos Heights, IL 60463-2253 | 2006-11-07 |
| 1588743744 | Kenneth A. Kehl | Dentist | 12760 S Harlem Ave, Palos Heights, IL 60463-2171 | 2006-11-06 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on DR. PATRICK J. GANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.