Jeffrey Ryan Pua M.D.

NPI 1689831778 - Internal Medicine - 207R00000X

NPI Details
NPI 1689831778
Gender Male
Enumeration Date 05/17/2008
Last Updated 02/24/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
24600 W 127TH ST BLDG B
PLAINFIELD IL, 60585-9509, US
Phone (815) 731-9000
Fax (815) 731-9001
Business Location
24600 W 127TH ST BLDG B
PLAINFIELD IL, 60585-9509, US
Phone (815) 731-9000
Fax (815) 731-9001
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-121475
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According to our database, Dr. Jeffrey Ryan Pua M.D. NPI is 1689831778, taxonomy code is 207R00000X and license number is 036-121475, license state is located at Illinois. Jeffrey Ryan Pua M.D. physically located at 24600 W 127th St Bldg B, Plainfield IL, 60585-9509. NPI Number Jeffrey Ryan Pua M.D. has the Individual type.

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1689831778 NPI number is provided on an as is basis without warranty of any kind. 1689831778 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Ryan Pua M.D. are for informational purposes only.