Individual
RYAN C ENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036123314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123314
—
IL
Enumeration date
08/05/2006
Last updated
08/21/2023
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