DR. LORI RYAN


Address: 1525 E 53rd St, Suite 503, Chicago, IL 60615-4557
Phone: 3128904321

DR. LORI RYAN (NPI# 1639476179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639476179
Entity Type Individual
Full Name DR. LORI RYAN
Credential PSY.D.
Practice Address 1525 E 53rd St
Suite 503
Chicago
IL 60615-4557
Practice Telephone 3128904321
Mailing Telephone 3128904321
Enumeration Date 2011-02-18
Last Update Date 2011-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071007947 IL Behavioral Health & Social Service Providers

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Office Location

Street Address 1525 E 53RD ST
SUITE 503
City CHICAGO
State IL
Zip Code 60615-4557

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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