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Individual

RYAN H KAYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1802 N DIVISION ST STE 205, MORRIS, IL 60450-3134
(815) 942-3042
Mailing address
200 W DAKOTA ST, SPRING VALLEY, IL 61362-1906
(815) 663-8281
(815) 663-8190

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009918
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046009918
DPA/TPA LICENSE
IL
05
046009918
IL
01
7215175
BCBS
IL
Enumeration date
11/01/2006
Last updated
03/23/2021
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