Headley, Ryan C

Headley, Ryan C is an individual health care provider with primary practice located at 908 N Elm St Ste 309 , Hinsdale IL 60521-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Headley, Ryan C can be contacted via phone (708) 484-0621.

Contact Information

Primary practice address
908 N Elm St Ste 309 Hinsdale IL 60521-3625
Fax: (708) 484-0250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-114720 Illinois

Profile Details

NPI number 1659309375
LBN Legal business name Headley, Ryan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 1st, 2023 - about last year

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 1659309375 NPPES
Illinois Other 036114720 LICENSE NUMBER
Illinois Other 1659309375 LICENSE NUMBER

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