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Individual

JONATHAN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5151 MOCHEL DR STE 304, DOWNERS GROVE, IL 60515-5078
(331) 218-2777
Mailing address
5151 MOCHEL DR STE 304, DOWNERS GROVE, IL 60515-5078
(331) 218-2777

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.017762
IL
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/04/2016
Last updated
03/06/2026
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