Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLODAGH THERESE RYAN, MD
Active Sole ProprietorDR. CLODAGH THERESE RYAN, MD is a Family Medicine healthcare provider located in LA GRANGE, Illinois. NPI 1205042975 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA GRANGE, IL
Registration Details
- NPI Number
- 1205042975
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.220513095989 yrs)
- Last Updated
- Feb 13, 2020
- Licenses
-
036120989 (IL)125049455 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 W 47TH ST STE 1LA GRANGE, IL, 605256148Browse IL providers · Browse ZIP 60525
- Phone
- 7085712272
- Fax
- 2816670104
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in LA GRANGE, IL
| Name | Credential | NPI |
|---|---|---|
| GUY AGOSTINO | M.D. | 1992769822 |
| WILLIAM H GROS | M.D. | 1316902919 |
| DR. DANIEL HUNTER SMITH | MD | 1619925963 |
| DR. LEO KOENIG | MD | 1013967322 |
| DR. DAPHNE TESSALEE | MD | 1124078357 |
| VINCE BARTOLOMEO | MD | 1275558629 |
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.