Individual
DR. JAMES PATRICK RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208-2041
(618) 277-3109
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(618) 277-3109
(618) 233-5696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036133493
IL
208800000X
Urology Physician
2015036246
MO
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
2015036246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036133493
IDFPR
IL
Enumeration date
08/11/2008
Last updated
12/01/2021
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