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DR. PHILIP VASIN BYSTROM MD
NPI 1205397668
Surgery in Chicago, IL

Active since March 28, 2019
836 W WELLINGTON AVE RM 4807, CHICAGO, IL 60657(773) 296-5347 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Vasin Bystrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP VASIN BYSTROM MD (NPI 1205397668) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036.165078) and active in the NPI registry since March 2019. He maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1205397668
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PHILIP VASIN BYSTROMCredential: MD
Location Address836 W WELLINGTON AVE RM 4807Chicago, IL 60657-5147
Mailing Address817 Oak StKalamazoo, MI 49008-1131 · (269) 312-2743
Phone(773) 296-5347
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1205397668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.165078
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
836 W WELLINGTON AVE RM 4807, Chicago, IL 60657
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Secondary Practice Location 1

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-4400

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHALID ALSHAIBANI MD
Student in an Organized Health Care Education/Training Program
836 W WELLINGTON AVE RM 4807
CHICAGO, IL 60657
Cook County (773) 296-5347
DANIEL ZOOSUB LEE MD
Student in an Organized Health Care Education/Training Program
836 W WELLINGTON AVE RM 4807
CHICAGO, IL 60657
Cook County (773) 296-5347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Bystrom's NPI number?

The NPI number for Philip Bystrom is 1205397668. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Philip Bystrom located?

Philip Bystrom practices at 836 W Wellington Ave Rm 4807, Chicago, IL 60657. The listed phone number is (773) 296-5347.

What is Philip Bystrom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Philip Bystrom was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.