Stephanie Gannon
NPI #1104179134 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1104179134
- Entity Type
- Individual
- Name
- Stephanie Gannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Feb 13, 2017
Practice Location
- Address
- 660 N WESTMORELAND RD
- Address 2
- 900 BUILDING, LOWER LEVEL 70
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1659
- Phone
- (847) 535-6870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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