Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Joseph Housner, PA-C

Individual provider Surgical Physician Assistant · NPI 1205942539

Mr. Ryan Joseph Housner, PA-C is a Physician Assistant in Libertyville, Illinois. Qualified in 2006, 20 years ago. Practices with Cardiothoracic and Vascular Surgical Associates S C, a 47-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
20
Licensed in
IL, IN, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

890 Garfield Ave Ste 101
Libertyville, IL 60048-4723
Phone: (847) 990-5636
Fax: (847) 676-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085002765 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2680-023 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10000873A (IN)

Record details

NPI number1205942539
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates S C — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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