Provider Demographics
NPI:1730680547
Name:SCHUETZLE, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHUETZLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 GOLF RD STE 525
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1217
Mailing Address - Country:US
Mailing Address - Phone:224-470-8550
Mailing Address - Fax:224-470-8553
Practice Address - Street 1:4711 GOLF RD STE 525
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1217
Practice Address - Country:US
Practice Address - Phone:224-470-8550
Practice Address - Fax:224-470-8553
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL211.000313224P00000X
IL213.000345222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist