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DR. RYAN RIDGWAY SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1331 W 75TH ST STE 101, NAPERVILLE, IL 60540-9311
(630) 527-3000
(630) 548-1563
Mailing address
1331 W 75TH ST STE 101, NAPERVILLE, IL 60540-9311
(630) 646-7000
(630) 548-1563

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036.140279
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036.140279
IL

Other

Enumeration date
03/28/2011
Last updated
01/28/2021
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