Individual
DR. JOHN EDWARD DYBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625-3645
(773) 273-6810
(773) 273-5332
Mailing address
5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625-3645
(773) 273-6810
(773) 273-5332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036114053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114053
—
IL
05
—
036114053 1
—
IL
05
—
036114053 2
—
IL
01
—
1629966
BS OF IL GROUP # NIESS
IL
01
—
1630046
BCBS OF IL GROUP NUMBER
IL
Enumeration date
03/30/2007
Last updated
09/28/2009
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