Ryan, Ralph G.

Ryan, Ralph G. is an individual health care provider with primary practice located at 14 Lake St , Oak Park IL 60302-2606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ryan, Ralph G. can be contacted via phone (708) 383-0113.

Contact Information

Primary practice address
14 Lake St Oak Park IL 60302-2606
Fax: (708) 383-9911
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301043406 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036054943 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301043406 Michigan

Profile Details

NPI number 1548254972
LBN Legal business name Ryan, Ralph G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 2nd, 2020 - about 4 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 1548254972 NPPES
Michigan MEDICAID 1632944

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