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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639566375 | NPPES |
| Indiana | MEDICAID | 300010539 |
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