RYAN DAVISSON

CHICAGO, IL
NPI1215487830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.006015)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
-- RYAN DAVISSON
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-257-5097
Mailing Address
-- RYAN DAVISSON
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number:
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