Individual
DR. RAYMOND J RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HEALTHCARE DRIVE, STE 1559, GREENVILLE, IL 62246
(618) 664-6966
(618) 664-6971
Mailing address
200 HEALTHCARE DRIVE, GREENVILLE, IL 62246
(618) 664-6966
(618) 664-6971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036091276
IL
208600000X
Surgery Physician
Primary
036091276
IL
Other
Enumeration date
08/04/2006
Last updated
01/04/2011
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