MR. Mark Robert Gannon, PT

NPI #1093737397 in Oak Brook, Illinois

Provider Information

NPI Number: 1093737397
Entity Type: Individual
Name: MR. Mark Robert Gannon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 24, 2006
Last Updated: Jun 7, 2019

Practice Location

Address: 2011 YORK RD STE 1500
City: Oak Brook
State: Illinois
ZIP Code: 60523
Phone: (877) 632-6637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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