C TYSON

CHICAGO, IL
NPI1053436931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036070618)
Enumeration Date2007-03-20
Last Update Date2007-09-24
Business Address
-- C TYSON MD
8012 S CRANDON AVE
CHICAGO, IL 60617-1124
Phone number: 773-734-1117
Mailing Address
-- C TYSON MD
8012 S CRANDON AVE
CHICAGO, IL 60617-1124
Phone number: 773-734-1117
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