person
Mr. Ryan Joseph Housner, PA-C
Surgical Physician Assistant in Libertyville, Illinois
NPI 1205942539

Ryan Joseph Housner is a Surgical Physician Assistant based in Mokena, IL and is specialized in Surgical. Ryan Joseph Housner practices in Libertyville, IL and has the professional credentials of PA-C. The NPI Number for Ryan Joseph Housner is 1205942539 and holds a License No. 2680-023 (Illinois).

The current practice location address for Ryan Joseph Housner is 890 Garfield Ave, Libertyville, IL and can be reached out via phone at 847-990-5636 and via fax at 847-676-1549. You can also correspond with Ryan Joseph Housner through the mailing address at 9500 BORMET DR STE 204, MOKENA, IL - 60448-8399 (mailing address contact number: 708-346-4044).

Location: 890 Garfield Ave, Libertyville, IL, 60448-8399
person
Provider Profile Details
NPI Number
1205942539
Provider Name
Ryan Joseph Housner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
890 Garfield Ave, Libertyville, IL, 60448-8399
Phone Number
847-990-5636
Fax Number
847-676-1549
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205942539 05 WI
institution
Provider Business Practice Location Address Details
Address
890 Garfield Ave
City
State
Zip
60048-4723
Phone Number
847-990-5636
Fax Number
847-676-1549
person
Provider Business Mailing Address Details
Address
890 Garfield Ave
City
State
Zip
60048-4723
Phone Number
847-990-5636
Fax Number
847-676-1549
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2680-023 (Wisconsin)
Definition
Definition to come...
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