Ryan Naes

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002686 Issued in IL

Practice address

25542 W Wacker Dr
Lake Villa, IL 60046-9130

Phone

(847) 571-7853

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1861898876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25542 W WACKER DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469130",
            "telephone_number": "847-571-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25542 W WACKER DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469130",
            "telephone_number": "847-571-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAES",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Morstadt, MD
• Amanda Moulchin
• Caroline Mrowiec, OT
• Sean Barry Murphy
• Lori Jo Murray, M.A., CCC-SLP
• Mohamed E Nasr, M.D.
• Andrilyn Nededog, NP
• Pamela Norley, D.C.
• Northwest Suburban Urgent Care (Northwest Suburban Medical Center)
• Onyeisi Stephen Ogbomeh, DNP, APRN-FPA,FNP-BC

• Athletic Trainer in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.