Individual
DAVID TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 S MICHIGAN AVE STE 416, CHICAGO, IL 60616-3400
(312) 881-3050
(312) 881-3051
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036161751
IL
Other
Enumeration date
03/22/2019
Last updated
05/06/2024
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