Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036.146341 | IL |
NPI | 1053730895 |
---|---|
Provider Name | Ryyan Hyder |
First Address | Oak Brook, IL 60523-1563 |
Second Address | Elk Grove Village, IL 60007-7331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 01/10/2020 |