Individual
RYAN MEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 318-9340
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 318-9340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.076403
IL
207RG0100X
Gastroenterology Physician
036.161814
IL
207RI0008X
Hepatology Physician
Primary
036.161814
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
04/11/2024
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