Individual
RYAN D. FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
15 FOUNDERS LANE, JACKSONVILLE, IL 62650-3918
(217) 291-1041
(217) 243-9030
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001458
IL
Other
Enumeration date
06/24/2013
Last updated
05/22/2020
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