Individual
DR. JOHN ROBERT HYNGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 842-5904
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 842-5904
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
036114739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215392601
—
TX
Enumeration date
09/05/2008
Last updated
09/10/2024
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