Individual
BRUCE H HYMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
561 10TH AVE APT 38A, NEW YORK, NY 10036-3062
(773) 919-3919
Mailing address
561 10TH AVE APT 38A, NEW YORK, NY 10036-3062
(773) 919-3919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036057124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057124
—
IL
Enumeration date
03/23/2006
Last updated
07/21/2022
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