Madonna Elizabeth Gannon in Aurora - Clinical
Madonna Elizabeth Gannon - NPI 1568583243
Madonna Elizabeth Gannon is a Clinical in Aurora, Illinois. Madonna Elizabeth Gannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Madonna Elizabeth Gannon is 1568583243. The last update date is 2009-03-10.
Madonna Elizabeth Gannon's current location address is 70 S River St, Aurora, Illinois. You can contact this provider via phone number 6308442662 and fax number 6308443084. The mailing address for Madonna Elizabeth Gannon is 70 S River St, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madonna Elizabeth Gannon |
|---|---|
| Address | 70 S River St, Aurora, Illinois |
| Phone Number | 6308442662 |
| Fax Number | 6308443084 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568583243 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2009-03-10 |
Provider Mailing Address Detail
| Address | 70 S River St |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605065295 |
| Phone Number | 6308442662 |
| Fax Number | 6308443084 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149011094 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Madonna Elizabeth Gannon by the Centers for Medicare & Medicaid Services (CMS)?
The Madonna Elizabeth Gannon has been assigned the NPI (National Provider Identifier) 1568583243. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Madonna Elizabeth Gannon's facilities are situated?
The facilities of Madonna Elizabeth Gannon are physically located at the following address: 70 S River St, Aurora, IL, 605065295.
What is Madonna Elizabeth Gannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Madonna Elizabeth Gannon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Madonna Elizabeth Gannon receive its 1568583243 assignment from the Centers for Medicare & Medicaid Services?
The Madonna Elizabeth Gannon was assigned its 1568583243 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information pertaining to Madonna Elizabeth Gannon most recently updated or revised?
The details related to Madonna Elizabeth Gannon, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-10.