Ryan, Clodagh Therese

Ryan, Clodagh Therese is an sole proprietor health care provider with primary practice located at 1400 W 47Th St Ste 1 , La Grange IL 60525-6148. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ryan, Clodagh Therese can be contacted via phone (708) 571-2272.

Contact Information

Primary practice address
1400 W 47Th St Ste 1 La Grange IL 60525-6148
Phone: (708) 571-2272
Fax: (281) 667-0104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036120989 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125049455 Illinois

Profile Details

NPI number 1205042975
LBN Legal business name Ryan, Clodagh Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Feb 13th, 2020 - about 5 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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