Provider Demographics
NPI:1770880973
Name:SPEAKER, CHRISTOPHER RYAN (APN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:SPEAKER
Suffix:
Gender:M
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 EDWARD DR
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-2800
Mailing Address - Country:US
Mailing Address - Phone:708-535-0364
Mailing Address - Fax:773-702-1192
Practice Address - Street 1:5700 EDWARD DR
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-2800
Practice Address - Country:US
Practice Address - Phone:708-535-0364
Practice Address - Fax:773-702-1192
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008681363LF0000X
IL277.001148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily