Individual
DR. SEAN SEOSAP RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, SUITE 325 JONES, CHICAGO, IL 60612-3833
(312) 942-4200
(312) 942-3568
Mailing address
1653 W CONGRESS PKWY, SUITE 325 JONES, CHICAGO, IL 60612-3833
(312) 942-4200
(312) 942-3568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-099387
IL
208M00000X
Hospitalist Physician
Primary
036-099387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891229A
—
NC
Enumeration date
06/07/2011
Last updated
04/11/2022
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