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1154900199
PETER LYSON
MAYWOOD, IL
NPI
1154900199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.077726)
Enumeration Date
2021-04-06
Last Update Date
2021-06-13
Business Address
PETER LYSON MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-783-3913
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Mailing Address
PETER LYSON MD
6901 31ST ST
BERWYN, IL 60402-2960
Phone number: 630-240-6495
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