Individual
RYAN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7626 N EASTLAKE TER, APT 1, CHICAGO, IL 60626-1438
(312) 532-9624
Mailing address
7626 N EASTLAKE TER, APT 1, CHICAGO, IL 60626-1438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004172
IL
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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