Taylor, Ryan

Taylor, Ryan is an individual health care provider with primary practice located at 303 E. Ogden Ave Second Flood, Westmont IL 60559. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Taylor, Ryan can be contacted via phone (630) 968-3762.

Contact Information

Primary practice address
303 E. Ogden Ave Second Flood Westmont IL 60559
Phone: (630) 968-3762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004997A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02004997A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036.156822 Illinois

Profile Details

NPI number 1639566375
LBN Legal business name Taylor, Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639566375 NPPES
Indiana MEDICAID 300010539

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