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Daniel Ryan
Foot & Ankle Surgery Podiatrist in Evergreen Park, Illinois
NPI 1447888094

Daniel Ryan is a Foot & Ankle Surgery Podiatrist based in Evergreen Park, IL and is specialized in Foot & Ankle Surgery. Daniel Ryan practices in Evergreen Park, IL. The NPI Number for Daniel Ryan is 1447888094 and holds a License No. 016.006042 (Illinois).

The current practice location address for Daniel Ryan is 3830 W 95Th St # 104, Evergreen Park, IL and can be reached out via phone at 708-423-3668.

Location: 3830 W 95Th St # 104, Evergreen Park, IL, 60805-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447888094
Provider Name
Daniel Ryan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3830 W 95Th St # 104, Evergreen Park, IL, 60805-2004
Phone Number
708-423-3668
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3830 W 95Th St # 104
City
Evergreen Park
State
Illinois
Zip
60805-2004
Phone Number
708-423-3668
Fax Number
person
Provider Business Mailing Address Details
Address
3830 W 95Th St # 104
City
Evergreen Park
State
Illinois
Zip
60805-2004
Phone Number
708-423-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016.006042 (Illinois)
Definition
Definition to come...
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