Ashley Ryan, DC | |
407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 | |
(847) 987-5085 | |
Not Available |
Full Name | Ashley Ryan |
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Gender | Female |
Speciality | Chiropractor |
Location | 407 E Congress Pkwy Ste C, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609206648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038012458 (Illinois) | Primary |
Provider Name | Ryan Health, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366102469 PECOS PAC ID: 4880065721 Enrollment ID: O20230201000112 |
Mailing Address | Practice Location Address |
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Ashley Ryan, DC 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 Ph: (847) 987-5058 | Ashley Ryan, DC 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 Ph: (847) 987-5085 |
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