Stephanie Gannon

NPI 1104179134 · on the registry since 2012

Practice

Address: 660 N Westmoreland Rd
900 Building, Lower Level 70
Lake Forest, IL 60045
Phone: (847) 535-6870
Organisation at this address: Victoria Kut Md Ltd
Robert J Hartman Md Sc
Anesthesia Consultants Ltd
Joseph P Imperato, M D, P C
Joseph M. Purpura, M.D.,, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 116

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois