Individual
RYAN ISENHOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 E WINTER AVE, DANVILLE, IL 61832-2295
(217) 651-6801
Mailing address
1101 E WINTER AVE, DANVILLE, IL 61832-2295
(217) 651-6801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
10/04/2022
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