Individual
DR. RYAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5222 N CLARK ST, CHICAGO, IL 60640-2377
(773) 275-2538
Mailing address
5222 N CLARK ST, CHICAGO, IL 60640-2377
(773) 275-2538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OFC87
FL
152W00000X
Optometrist
OPT34192
CA
152W00000X
Optometrist
TUV008816
NY
152WC0802X
Corneal and Contact Management Optometrist
Primary
046.011354
IL
Other
Enumeration date
06/22/2018
Last updated
08/23/2019
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