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Dr. Clodagh Therese Ryan, MD
Student in an Organized Health Care Education/Training Program in La Grange, Illinois
NPI 1205042975

Clodagh Therese Ryan is a Student in an Organized Health Care Education/Training Program based in La Grange, IL. Clodagh Therese Ryan practices in La Grange, IL and has the professional credentials of MD. The NPI Number for Clodagh Therese Ryan is 1205042975 and holds a License No. 036120989 (Illinois).

The current practice location address for Clodagh Therese Ryan is 1400 W 47Th St Ste 1, La Grange, IL and can be reached out via phone at 708-571-2272 and via fax at 281-667-0104.

Location: 1400 W 47Th St Ste 1, La Grange, IL, 60525-6148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205042975
Provider Name
Clodagh Therese Ryan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1400 W 47Th St Ste 1, La Grange, IL, 60525-6148
Phone Number
708-571-2272
Fax Number
281-667-0104
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 W 47Th St Ste 1
City
La Grange
State
Illinois
Zip
60525-6148
Phone Number
708-571-2272
Fax Number
281-667-0104
person
Provider Business Mailing Address Details
Address
1400 W 47Th St Ste 1
City
La Grange
State
Illinois
Zip
60525-6148
Phone Number
708-571-2272
Fax Number
281-667-0104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125049455 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036120989 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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