Ryan C Enke
Physical Medicine & Rehabilitation Doctor
5875 E Riverside Blvd
Rockford
, Illinois 61114-4937
Ryan C Enke
Physical Medicine & Rehabilitation Doctor
5875 E Riverside Blvd
Rockford
, Illinois 61114-4937
(815) 381-7498
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Ryan C Enke
- Box 78534
- Milwaukee, IL
- Zip : 53278
- Fax : (815) 381-7498
- Phone : (815) 398-9491
Second Address
- Ryan C Enke
- 5875 E Riverside Blvd
- Rockford, IL
- Zip : 61114-4937
- Phone : (815) 398-9491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036123314 | IL |
National Provider Identifier
| NPI | 1053320317 |
|---|---|
| Provider Name | Ryan C Enke |
| First Address | Milwaukee, IL 53278 |
| Second Address | Rockford, IL 61114-4937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036123314 | (05) | IL |
| I58602 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.