Individual
RYAN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 CHURCH ST, SKOKIE, IL 60077
(949) 696-6157
Mailing address
303 E WACKER DR STE 1127, CHICAGO, IL 60601-5215
(312) 736-1776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209.026012
IL
163WG0600X
Gerontology Registered Nurse
209.026012
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209.026012
IL
Other
Enumeration date
12/05/2022
Last updated
05/10/2024
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