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Individual

RYAN W LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-3886
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.165113
IL
2085R0204X
Vascular & Interventional Radiology Physician
036.165113
IL
282N00000X
General Acute Care Hospital

Other

Enumeration date
03/21/2017
Last updated
09/11/2025
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