# DEIRDRE D RYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982678025
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 36106998 | IL | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 09/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 36106998 | — | IL |
| 01 | — | K01732 | MEDICARE | IL |