Hyman, Bruce David

Hyman, Bruce David is an sole proprietor health care provider with primary practice located at 550 N Lake St , Mundelein IL 60060-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hyman, Bruce David can be contacted via phone (847) 566-5200.

Contact Information

Primary practice address
550 N Lake St Mundelein IL 60060-1827
Phone: (847) 566-5200
Fax: (847) 566-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36087522 Illinois

Profile Details

NPI number 1316044415
LBN Legal business name Hyman, Bruce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316044415 NPPES
Illinois MEDICAID 036087522

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