Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Brooks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053930008

Ryan Brooks is a Diagnostic Radiology in Olympia Fields, Illinois. Qualified in 2020, 6 years ago. Registered with an NPI since 2020.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

20201 S Crawford Attn: Postdoctoral Education
Olympia Fields, IL 60461
Phone: (708) 747-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053930008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address2150 S 55th St Apt 3124, Tempe, AZ 85282-2379

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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