Mitacek, Ryan Bernard
Mitacek, Ryan Bernard is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5044 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Mitacek, Ryan Bernard can be contacted via phone (773) 702-1000.Contact Information
Primary practice address
5841 S Maryland Ave # Mc5044
Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301511663 | Michigan |
Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 036.155959 | Illinois |
Profile Details
NPI number | 1639674211 |
---|---|
LBN Legal business name | Mitacek, Ryan Bernard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2018 |
Last updated | Apr 12th, 2024 - 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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