Individual
DR. RYAN C SOCWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8580 W DEMPSTER ST, NILES, IL 60714-1402
(847) 699-8580
Mailing address
8580 DEMPSTER, NILES, IL 60714
(847) 699-8580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010320
IL
152W00000X
Optometrist
3158-035
WI
Other
Enumeration date
07/09/2009
Last updated
05/23/2013
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