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Individual

DR. RYAN MICHAEL WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5201 WILLOW SPRINGS RD STE 260, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-1306
(708) 354-1538
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(630) 491-5472

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54096
KY
207R00000X
Internal Medicine Physician
036.155384
IL
207R00000X
Internal Medicine Physician
54096
KY
207RN0300X
Nephrology Physician
Primary
036.155384
IL
390200000X
Student in an Organized Health Care Education/Training Program
036.155384
IL

Other

Enumeration date
03/20/2018
Last updated
08/04/2025
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