Individual
DR. RYAN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
(847) 570-2512
(847) 570-1696
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036174068
IL
390200000X
Student in an Organized Health Care Education/Training Program
11023195A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
05/15/2025
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