Individual
RYAN ANDJULO IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 S YORK ST STE 4280, ELMHURST, IL 60126-5632
(331) 221-9004
Mailing address
4201 WINFIELD RD FL 3, WARRENVILLE, IL 60555-4025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.009147
IL
363AS0400X
Surgical Physician Assistant
Primary
085009147
IL
Other
Enumeration date
11/23/2022
Last updated
03/30/2026
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