Provider Demographics
NPI:1396017216
Name:RYBA, CHERYL A
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:RYBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7427 TIFFANY DR
Mailing Address - Street 2:1B
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5282
Mailing Address - Country:US
Mailing Address - Phone:708-870-0269
Mailing Address - Fax:
Practice Address - Street 1:7427 TIFFANY DR
Practice Address - Street 2:1B
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5282
Practice Address - Country:US
Practice Address - Phone:708-870-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist