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NPI Code Detail

MEDICARE: RYAN MCSHANE ENGER PA-C

MEDICARE: RYAN MCSHANE ENGER PA-C
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
1363AM0700XMedical Physician Assistant085002933IL
2363A00000XPhysician Assistant085002933IL

General Provider Information

NPI Number : 1962556365
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN MCSHANE ENGER PA-C
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 120 SPALDING DR STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6599
Country : US
Telephone Number : 630-527-7730
Fax Number : 630-527-7748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 03/23/2026

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Directions to “ RYAN MCSHANE ENGER PA-C” Practice Location

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