Individual
JAY PRYSTOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036070574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070574
—
IL
Enumeration date
07/11/2006
Last updated
07/12/2007
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