Individual
DR. RYAN JAMES PASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030272
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
05/25/2016
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