Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip Vasin Bystrom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205397668

Dr. Philip Vasin Bystrom, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

836 W Wellington Ave Rm 4807
Chicago, IL 60657-5147
Phone: (773) 296-5347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 — (269) 337-4400

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.165078 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205397668
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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