Bernard E Ryan Dds Pc | |
9 Briarcliff Prof Ctr Suite D Bourbonnais IL 60914-2429 | |
(815) 932-9695 | |
(815) 929-0582 |
Full Name | Bernard E Ryan Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 9 Briarcliff Prof Ctr Suite D, Bourbonnais, Illinois |
Authorized Official Name and Position | Bernard E Ryan (PRESIDENT) |
Authorized Official Contact | 8159329695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bernard E Ryan Dds Pc 9 Briarcliff Professional Center Suite D Bourbonnais IL 60914-2429 Ph: (815) 932-9695 | Bernard E Ryan Dds Pc 9 Briarcliff Prof Ctr Suite D Bourbonnais IL 60914-2429 Ph: (815) 932-9695 |
NPI Number | 1467615716 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467615716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019015907 (Illinois) | Primary |
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