Individual
MR. RYAN JOSEPH HOUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
890 GARFIELD AVE, SUITE 101, LIBERTYVILLE, IL 60048-4723
(847) 990-5636
(847) 676-1549
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085002765
IL
363AS0400X
Surgical Physician Assistant
10000873A
IN
363AS0400X
Surgical Physician Assistant
2680-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205942539
—
WI
Enumeration date
08/21/2006
Last updated
12/17/2021
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