Provider Demographics
NPI:1144042425
Name:SAXON, RYAN ELY (HID)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:ELY
Last Name:SAXON
Suffix:
Gender:M
Credentials:HID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 OAK PARK RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1009
Mailing Address - Country:US
Mailing Address - Phone:847-462-8795
Mailing Address - Fax:
Practice Address - Street 1:185 SKOKIE VALLEY RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4403
Practice Address - Country:US
Practice Address - Phone:847-681-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist