Individual
DR. MICHAEL J. HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W JACKSON ST STE 303, CARBONDALE, IL 62901-1474
(618) 351-9300
Mailing address
PO BOX 749267, LOS ANGELES, CA 90074-9267
(818) 843-1700
(818) 843-0380
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.144605
IL
208800000X
Urology Physician
208799
NY
208800000X
Urology Physician
A79203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00647444
MEDICARE RR
CA
Enumeration date
10/12/2005
Last updated
06/30/2026
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