Individual
RYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 695-1292
Mailing address
7435 W TALCOTT AVE, RESURRECTION GRADUATE MEDICAL EDUCATION TY PROGRAM, CHICAGO, IL 60631-3707
(773) 990-5261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.159928
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
05/29/2022
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