Individual
JOZEF TRYZNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., RVT
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
Update your record
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