Individual provider · Type 1 NPI

Shannon Louise Ryan, PA-C

Physician Assistant · Lombard, IL

NPI number 1811600596 Active

Practice location

1919 S Highland Ave Ste 204C
Lombard, IL 60148-6193

Fax (708) 613-4319

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601011451 (MI)
Physician Assistant Primary 363A00000X085011572 (IL)
Military Health Care Provider 171000000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1811600596

Shannon Louise Ryan, PA-C's National Provider Identifier is 1811600596, issued on Dec 28, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lombard, IL. The record was last updated on Sep 24, 2026.