Individual
JOZEF TRYZNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., RVT
Contact information
Practice address
760 BUSSE HWY, PARK RIDGE, IL 60068-2402
(847) 518-9999
(847) 518-2288
Mailing address
760 BUSSE HWY, PARK RIDGE, IL 60068-2402
(847) 518-9999
(847) 518-2288
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
036089963
IL
207Q00000X
Family Medicine Physician
036089963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39089963
—
IL
01
—
O1625643
BCBS PROVIDER NUMBER
IL
Enumeration date
08/31/2006
Last updated
08/17/2009
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