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Dr. Patrick Gerard Gannon , DO

General Practice • Dekalb, IL

Active NPI 1720187453 Individual Practitioner Male Practitioner
Practice location in NPPES

626 Bethany Rd, 3251 Commerce Drive
Dekalb, IL 601154939

Call 8157561521 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

626 Bethany Rd
3251 Commerce Drive

Dekalb, IL 601154939

Telephone 8157561521
Organization at the Same NPPES Address or Phone
Consultants In Diagnostic Imaging Sc Facility NPI 1396851713

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dekalb and Illinois

3 active clinicians are listed under General Practice with a practice address in Dekalb, IL (291 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Tax Id Number
237087041;651249587 (IL)
Other Identifier Bcbs Prvider #
021940024;0031940152 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1538658729

Doctor of Medicine (M.D.)

Christopher Adams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1326182635

Certified Registered Nurse Anesthetist

NPI 1295153922

Doctor of Medicine (M.D.)

Dr. Vineel Bezawada , MD

Internal Medicine - Critical Care Medicine

NPI 1952806945

Doctor of Medicine (M.D.)

Dr. Bruce Brantman , MD

Emergency Medicine

NPI 1437203528

Doctor of Medicine (M.D.)

Erin Browning , CRNA

Nurse Anesthetist, Certified Registered

NPI 1164794533

Certified Registered Nurse Anesthetist

Career & Practice History

NPI enumerated September 21, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1720187453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

2807 Brittany Ct

St Charles, IL 601755161

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.