Individual
ALEXANDER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Mailing address
2040 W ILES AVE STE C, SPRINGFIELD, IL 62704-4183
(217) 789-0668
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-131849
IL
2085R0202X
Diagnostic Radiology Physician
2013005692
MO
2085R0202X
Diagnostic Radiology Physician
Primary
22883
ND
2085R0202X
Diagnostic Radiology Physician
ME176276
FL
2085R0202X
Diagnostic Radiology Physician
MT190595
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131849
—
IL
05
—
200002434
—
MO
Enumeration date
10/16/2009
Last updated
01/23/2026
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