Individual
MARK RYERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E CENTRAL RD, ARLINGTON HTS, IL 60005-2649
(847) 255-0330
(847) 255-1785
Mailing address
125 E CENTRAL RD, ARLINGTON HTS, IL 60005-2649
(847) 255-0330
(847) 255-1785
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003397
IL
213ES0000X
Sports Medicine Podiatrist
016003397
IL
213ES0131X
Foot Surgery Podiatrist
016003397
IL
Other
Enumeration date
05/20/2006
Last updated
02/18/2011
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