SearchIllinois101YM0800X

Ryan Puckett

NPI 1174453732 · on the registry since 2026

Practice

Address
929 W Belmont Ave
Chicago, IL 60657
Phone
(312) 530-0323
Clinicians at this address
35

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois