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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN RIDGWAY SULLIVAN, MD

Active

DR. RYAN RIDGWAY SULLIVAN, MD is a Sports Medicine (Orthopaedic) healthcare provider located in NAPERVILLE, Illinois. NPI 1063701241 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · NAPERVILLE, IL

Registration Details

NPI Number
1063701241
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2011 (15.42722031004 yrs)
Last Updated
Jan 28, 2021
Licenses
036.140279 (IL)
036.140279 (IL)

Practice Information

Address
1331 W 75TH ST STE 101
NAPERVILLE, IL, 605409311
Browse IL providers · Browse ZIP 60540
Phone
6305273000
Fax
6305481563
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in NAPERVILLE, IL

Name Credential NPI
DR. ROBERT ALLEN BURNETT III MD 1164914198
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.