Individual
MR. RYAN CHARLES SCOTT WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-FNP
Contact information
Practice address
1490 E WALNUT ST STE A, WATSEKA, IL 60970-1833
(815) 432-7693
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2991
(815) 935-7521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041435040
IL
363LF0000X
Family Nurse Practitioner
209034397
IL
Other
Enumeration date
12/30/2025
Last updated
01/11/2026
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