Individual
DR. ROBERT J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 W CENTRAL RD, STE 9, MT PROSPECT, IL 60056
(847) 506-1144
(847) 506-1149
Mailing address
25301 W CUBA RD, BARRINGTON, IL 60010
(847) 381-5990
(847) 506-1149
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
19A15156
IL
1223P0300X
Periodontics
Primary
215965
IL
1223P0300X
Periodontics
33145
CA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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