Individual
MAURA E. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
(312) 227-9874
Mailing address
225 EAST CHICAGO AVE #9, ANN & ROBERT H. LURIE CHILDREN'S MEMORIAL HOSPITAL, CHICAGO, IL 60611
(312) 227-4500
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036-115693
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036-115693
IL
2085R0202X
Diagnostic Radiology Physician
MD12282
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD12282
RI LICENSE
RI
Enumeration date
03/26/2007
Last updated
09/14/2020
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