Individual
DR. BRUCE DAVID HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 N LAKE ST, MUNDELEIN, IL 60060-1827
(847) 566-5200
(847) 566-5522
Mailing address
550 N LAKE ST, MUNDELEIN, IL 60060-1827
(847) 566-5200
(847) 566-5522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36087522
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087522
—
IL
Enumeration date
09/20/2006
Last updated
07/08/2007
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