Individual
DR. PAUL D. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036084757
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-084757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084757
—
IL
01
—
1912218850
NPI GROUP PRACTICE
IL
01
—
F400224429
MEDICARE - LOCALITY 16
IL
01
—
F400224432
MEDICARE - LOCALITY 15
IL
Enumeration date
06/14/2005
Last updated
08/05/2015
Update your record
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