Jorgenson, Ryan James

Jorgenson, Ryan James is an individual health care provider with primary practice located at Preferred Podiatry Group 425 Huehl Road #13, Northbrook IL 60062. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jorgenson, Ryan James can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
Preferred Podiatry Group 425 Huehl Road #13 Northbrook IL 60062
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001010A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 884-25 Wisconsin

Profile Details

NPI number 1437195567
LBN Legal business name Jorgenson, Ryan James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 4th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437195567 NPPES
Other 0732240001 DMERC # WITH PPG
MEDICAID 200844950A DMERC # WITH PPG

Popular Providers