Jacqueline Marie Heffernan Ryaboy, M.D.

Pediatrics Physician · Morton Grove, IL

Individual Active NPI

NPI number 1750760484

Practice location

9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128
Phone
(847) 296-1177
Fax
(847) 296-6437

Open in Google Maps

NPI record

NPI
1750760484
Entity type
Individual (Type 1)
Enumeration date
May 27, 2015
Last updated
October 25, 2023
Certified
October 25, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036159064 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Ryaboy

Jacqueline Marie Heffernan Ryaboy, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 9000 Waukegan Rd Ste 240, Morton Grove, IL 60053-2128. The NPI number 1750760484 was assigned on May 27, 2015 and the record was last updated on October 25, 2023.

Dr. Ryaboy lists a license in the registry: #036159064 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Marie Heffernan Ryaboy, M.D.?

The NPI number is 1750760484.

What is the phone number of Dr. Ryaboy?

The phone number listed for the practice location is (847) 296-1177.

Where is Dr. Ryaboy located?

9000 Waukegan Rd Ste 240, Morton Grove, IL 60053-2128.

What is the taxonomy code for Dr. Ryaboy?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Morton Grove

All Pediatrics Physician providers in Morton Grove, IL →