Individual
ERIN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, LAC
Contact information
Practice address
457 COVENTRY LN STE 122, CRYSTAL LAKE, IL 60014-7571
(815) 893-9590
Mailing address
967 GOLF COURSE RD APT 1, CRYSTAL LAKE, IL 60014-8809
(815) 403-8289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001399
IL
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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