Individual
DR. RYAN LYNN VON HOLTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25824 W EAMES ST, CHANNAHON, IL 60410-5313
(815) 521-9950
Mailing address
24541 S BLACKHAWK DR, CHANNAHON, IL 60410-9303
(815) 922-3545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009558
IL
Other
Enumeration date
03/20/2006
Last updated
12/12/2013
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