Colon, Ryan Miguel

Colon, Ryan Miguel is an individual health care provider with primary practice located at 925 N Milwaukee Ave Unit 200 , Vernon Hills IL 60061-1637. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Colon, Ryan Miguel can be contacted via phone (888) 938-3838.

Contact Information

Primary practice address
925 N Milwaukee Ave Unit 200 Vernon Hills IL 60061-1637
Fax: (888) 919-1083
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006413 Illinois

Profile Details

NPI number 1134648389
LBN Legal business name Colon, Ryan Miguel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated May 20th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134648389 NPPES
Illinois Other 085006413 STATE LICENSE
Illinois Other 1145764 STATE LICENSE

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