Individual provider · Type 1 NPI

Ryan Andjulo Irving, PA-C

Surgical Physician Assistant · Elmhurst, IL

NPI number 1679282198 Active

Practice location

1200 S York St Ste 4280
Elmhurst, IL 60126-5632

Call (331) 221-9004 Map

Mailing address

4201 Winfield Rd Fl 3
Warrenville, IL 60555-4025

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085009147 (IL)
Physician Assistant 363A00000X085.009147 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1679282198

Ryan Andjulo Irving, PA-C's National Provider Identifier is 1679282198, issued on Nov 23, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elmhurst, IL. The record was last updated on Mar 30, 2026.