Individual
RYAN RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
1378 NW 18TH AVE APT 318, PORTLAND, OR 97209-2494
(562) 755-4616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A174532
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.175503
IL
Other
Enumeration date
04/11/2018
Last updated
06/25/2025
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