Individual ProviderRyan CoyleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1165 N Clark St Ste 305, Chicago, IL 60610-7862(312) 880-9913(847) 751-0379PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Coyle is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1730669185Provider TypeIndividualFull NameCoyle, RyanCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date8/15/2018Last Updated4/3/2025Contact InformationPractice LocationPractice Address1165 N Clark St Ste 305, Chicago, IL 60610-7862Phone(312) 880-9913FaxUnlisted FaxMailing LocationMailing Address999 N Ogden St Apt 507, Denver, CO 80218-2844Phone(847) 751-0379FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149026020IllinoisCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09925300Colorado