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Individual

MR. RYAN J CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP/L

Contact information

Practice address
1701 E WOODFIELD RD STE 555, SCHAUMBURG, IL 60173-5130
(847) 619-1701
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 705-4092
(630) 424-0467

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211000216
IL

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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