Mitacek, Ryan Bernard

Mitacek, Ryan Bernard is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5044 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Mitacek, Ryan Bernard can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc5044 Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301511663 Michigan
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 036.155959 Illinois

Profile Details

NPI number 1639674211
LBN Legal business name Mitacek, Ryan Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Apr 12th, 2024 - about 2 years ago

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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