Individual
KRISTIN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-1000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209015143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041402284
RN LICENSE NUMBER
IL
01
—
209015143
APN LICENSE NUMBER
IL
Enumeration date
02/15/2017
Last updated
02/16/2017
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