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NPI Code Detail

MEDICARE: DR. RYAN PETER MONSBERGER MD

MEDICARE: DR. RYAN PETER MONSBERGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician036.179222IL
2207SG0201XClinical Genetics (M.D.) Physician036.179222IL

General Provider Information

NPI Number : 1285205153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN PETER MONSBERGER MD
Provider Business Mailing Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 309-655-2565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 06/17/2026

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Directions to “ DR. RYAN PETER MONSBERGER MD” Practice Location

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