DR. Philip Vasin Bystrom, MD

NPI #1205397668 in Chicago, Illinois

Provider Information

NPI Number: 1205397668
Entity Type: Individual
Name: DR. Philip Vasin Bystrom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Mar 28, 2019
Last Updated: Apr 11, 2025

Practice Location

Address: 836 W WELLINGTON AVE RM 4807
City: Chicago
State: Illinois
ZIP Code: 60657-5147
Phone: (773) 296-5347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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