Gannon, Madonna Elizabeth

Gannon, Madonna Elizabeth is an individual health care provider with primary practice located at 70 S River St , Aurora IL 60506-5295. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gannon, Madonna Elizabeth can be contacted via phone (630) 844-2662.

Contact Information

Primary practice address
70 S River St Aurora IL 60506-5295
Phone: (630) 844-2662
Fax: (630) 844-3084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149011094 Illinois

Profile Details

NPI number 1568583243
LBN Legal business name Gannon, Madonna Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Mar 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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