Individual
JEFFREY J. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 MAPLE RD, JOLIET, IL 60432-1439
(815) 740-1100
Mailing address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010063
IL
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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