Individual
RAYMOND BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(312) 888-2986
Mailing address
4050 HEALTHWAY DR STE 140, AURORA, IL 60504-8184
(630) 549-5429
(773) 912-6727
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.017627
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018001305
ANCC
IL
Enumeration date
08/06/2018
Last updated
05/22/2023
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