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

Individual provider Surgical Physician Assistant · NPI 1679282198

Ryan Andjulo Irving, PA-C is a Physician Assistant in Elmhurst, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
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

1200 S York St Ste 4280
Elmhurst, IL 60126-5632
Phone: (331) 221-9004
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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 085009147 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085.009147 (IL)

Record details

NPI number1679282198
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address4201 Winfield Rd Fl 3, Warrenville, IL 60555-4025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Elmhurst