Hennessy, Ryon Michael

Hennessy, Ryon Michael is an individual health care provider with primary practice located at 360 W Butterfield Rd Suite 160, Elmhurst IL 60126-5068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Hennessy, Ryon Michael can be contacted via phone (630) 782-9600.

Contact Information

Primary practice address
360 W Butterfield Rd Suite 160 Elmhurst IL 60126-5068
Phone: (630) 782-9600
Fax: (630) 782-1643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-093298 Illinois

Profile Details

NPI number 1093717480
LBN Legal business name Hennessy, Ryon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 10th, 2009 - about 15 years 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 1093717480 NPPES
Illinois Other 02222323 BCBS
Illinois MEDICAID 036093298 BCBS
Illinois Other 200028061 BCBS

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