Pua, Jeffrey Ryan
Pua, Jeffrey Ryan is an individual health care provider with primary practice located at 3011 Butterfield Rd Ste 240 , Oak Brook IL 60523-3132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Pua, Jeffrey Ryan can be contacted via phone (630) 348-3840.Contact Information
Primary practice address
3011 Butterfield Rd Ste 240
Oak Brook IL 60523-3132
Phone: (630) 348-3840
Fax: (630) 348-3841
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-121475 | Illinois |
Allopathic & Osteopathic Physicians / Obesity Medicine | 207RB0002X | 036-121475 | Illinois |
Profile Details
NPI number | 1689831778 |
---|---|
LBN Legal business name | Pua, Jeffrey Ryan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2008 |
Last updated | Aug 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689831778 | NPPES |
Illinois | MEDICAID | 036121475 |
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