Individual
DR. RICHARD J RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 SOUTH 631 ROUTE 59, SUITE D, WARRENVILLE, IL 60555-1440
(630) 393-2733
(630) 836-1198
Mailing address
2 SOUTH 631 ROUTE 59, SUITE D, WARRENVILLE, IL 60555-1440
(630) 393-2733
(630) 836-1198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-015908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-2940514
FEIN
IL
Enumeration date
01/23/2007
Last updated
10/29/2008
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