Individual
DR. RYAN FINKENBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, 7 WEST, PEORIA, IL 61636-0001
(309) 671-8393
Mailing address
221 NE GLEN OAK AVE, 7 WEST, PEORIA, IL 61636-0001
(309) 671-8393
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
036.122168
IL
2084P0800X
Psychiatry Physician
Primary
036.122168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260045229
RAILROAD MEDICARE
WV
05
—
7100080000
—
WV
01
—
CA7030
RAILROAD MEDICARE GRP #
WV
Enumeration date
02/14/2006
Last updated
01/22/2009
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