| Robert J Ryan Dds Pc | |
|
601 W Central Rd Suite 9 Mt Prospect IL 60056 | |
| (847) 506-1144 | |
| (847) 506-1149 |
| Full Name | Robert J Ryan Dds Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 601 W Central Rd, Mt Prospect, Illinois |
| Authorized Official Name and Position | Robert J Ryan (PRESIDENT) |
| Authorized Official Contact | 8475061144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Ryan Dds Pc 601 W Central Rd Suite 9 Mt Prospect IL 60056 Ph: (847) 506-1144 | Robert J Ryan Dds Pc 601 W Central Rd Suite 9 Mt Prospect IL 60056 Ph: (847) 506-1144 |
| NPI Number | 1740377480 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740377480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 215965 (Illinois) | Primary |
| 1223P0300X | Dentist - Periodontics | 19A15156 (Illinois) | Secondary |
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