Individual
RYAN M DHAEMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5645
Mailing address
12530 TROPHY DR, FISHERS, IN 46038-3075
(219) 508-0248
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01073867A
IN
2085R0202X
Diagnostic Radiology Physician
036142488
IL
208D00000X
General Practice Physician
01073867A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
07/21/2022
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