Search › Illinois › 101Y00000X
Ryan Dieschbourg
NPI 1962879825 · on the registry since 2015 · sole proprietor
Practice
- Address
- 333 N La Grange Rd
La Grange Park, IL 60526 - Phone
- (708) 745-5277
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois