Individual
RYAN RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23 S JEFFERSON ST, BATAVIA, IL 60510-2419
(630) 341-2467
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3816
(630) 323-6116
(630) 794-8617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007460
IL
363A00000X
Physician Assistant
Primary
23.004803
CT
363A00000X
Physician Assistant
PA.0006001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085007460
PA LICENSE
IL
Enumeration date
11/22/2019
Last updated
05/04/2020
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