Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720187453 Individual Practitioner Male Practitioner

Dr. Patrick Gerard Gannon , DO

General Practice • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Gannon, DO is a registered healthcare professional specializing in General Practice in Dekalb, IL. Practice services are available at 626 BETHANY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

626 Bethany Rd
3251 Commerce Drive

Dekalb, IL 601154939

Telephone 8157561521
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Dekalb, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id Number
237087041;651249587 (IL)
Commercial Insurance / Payer ID Bcbs Prvider #
021940024;0031940152 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Evens Mesadieu , APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1023587144

Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

NPI 1033542287

Licensed Social Worker

Michelle Burton , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043454994

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Mujahid Hussain , MD

Internal Medicine - Pulmonary Disease

NPI 1063405223

Doctor of Medicine (M.D.)

Michael Kelly , MS, RD, LDN

Dietitian, Registered

NPI 1083054993

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

NPI 1083877732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 626 BETHANY RD, 3251 COMMERCE DRIVE, DEKALB, IL 601154939 (Tel: 8157561521)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2807 BRITTANY CT, ST CHARLES, IL 601755161

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PATRICK GANNON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.