Individual
RYAN J AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611
(312) 695-5753
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
45120
AZ
2085N0904X
Nuclear Radiology Physician
45120
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
036.146830
IL
2085R0202X
Diagnostic Radiology Physician
45120
AZ
Other
Enumeration date
02/18/2009
Last updated
08/27/2018
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