Individual
MR. EUGENE EDWARD RYAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.S.
Contact information
Practice address
5TH AVENUE & ROOSEVELT ROAD, HINES, IL 60141
(708) 202-2517
(708) 202-2085
Mailing address
1576 TARA BELLE PKWY, NAPERVILLE, IL 60564-8197
(630) 978-9494
(630) 978-9494
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
IL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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