Pua, Jeffrey Ryan

Pua, Jeffrey Ryan is an individual health care provider with primary practice located at 3011 Butterfield Rd Ste 240 , Oak Brook IL 60523-3132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Pua, Jeffrey Ryan can be contacted via phone (630) 348-3840.

Contact Information

Primary practice address
3011 Butterfield Rd Ste 240 Oak Brook IL 60523-3132
Phone: (630) 348-3840
Fax: (630) 348-3841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-121475 Illinois
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 036-121475 Illinois

Profile Details

NPI number 1689831778
LBN Legal business name Pua, Jeffrey Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2008
Last updated Aug 17th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689831778 NPPES
Illinois MEDICAID 036121475

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