MEDICARE: DR. VICTORIA CHRISTINE RONAN 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
1	208M00000X	Hospitalist Physician	036148724	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036148724	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1699154948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA CHRISTINE RONAN MD

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE.
Second Line	:	1223
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 RIDGE AVE.
Second Line	:	PEDIATRIC HOSPITALISTS
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-1027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	12/08/2025

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