IndividualActive
Ryan Davidson, PA-C
NPI 1124803184 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1124803184
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10004693A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Street-level locationGet directions
Mailing address
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Additional practice locations (1)
- 9200 Calumet Ave Ste 300Munster, IN 46321-2885Phone: (877) 632-6637
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.