Individual
DR. RYAN CYRIL PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-1159
Mailing address
PO BOX 844658 PO BOX 19679, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-142427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036142427
—
IL
Enumeration date
05/01/2007
Last updated
08/23/2024
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