Individual
RYAN CHRISTOPHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-0899
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 767-6163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
123.080767
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125.080767
IL
Other
Enumeration date
04/03/2022
Last updated
05/31/2023
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