Individual
PAIGE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(708) 253-7552
Mailing address
5119 157TH ST, OAK FOREST, IL 60452-3411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160.008383
IL
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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