Individual
RYON MICHAEL HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-093298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222323
BCBS
IL
05
—
036093298
—
IL
01
—
200028061
MEDICARE RAILROAD
IL
Enumeration date
08/15/2005
Last updated
12/10/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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