| Ashley Ryan, DC | |
|
407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 | |
| (847) 987-5085 | |
| Not Available |
| Full Name | Ashley Ryan |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 407 E Congress Pkwy Ste C, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609206648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038012458 (Illinois) | Primary |
| Provider Name | Ryan Health, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366102469 PECOS PAC ID: 4880065721 Enrollment ID: O20230201000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Ryan, DC 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 Ph: (847) 987-5058 | Ashley Ryan, DC 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6238 Ph: (847) 987-5085 |
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