Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205397668 Individual Practitioner Male Practitioner

Dr. Philip Vasin Bystrom , MD

Surgery • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Philip Bystrom, MD is a registered healthcare professional specializing in Surgery in Chicago, IL. Practice services are available at 836 W WELLINGTON AVE RM 4807 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

836 W Wellington Ave Rm 4807

Chicago, IL 606575147

Telephone 7732965347

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
579 Specialists

Practicing in Chicago, IL (1624 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-11
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036.165078

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1000 Oakland Dr

Kalamazoo, MI 490081282

Phone: 2693374400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1043883697

Doctor of Medicine (M.D.)

Dr. Khalid Alshaibani , MD

Student in an Organized Health Care Education/Training Program

NPI 1538771910

Doctor of Medicine (M.D.)

Dr. Sergio Sandoval-Tovar , MD

Student in an Organized Health Care Education/Training Program

NPI 1548847205

Doctor of Medicine (M.D.)

Dr. Daniel Lee , MD

Student in an Organized Health Care Education/Training Program

NPI 1669059184

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated April 11, 2025

Recorded as PHILIP BYSTROM, MD

NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2019

Registered at 836 W WELLINGTON AVE RM 4807, CHICAGO, IL 606575147 (Tel: 7732965347)

📍
Updated Business Mailing Address March 28, 2019

Registered at 817 OAK ST, KALAMAZOO, MI 490081131 (Tel: 2693122743)

👤
Provider Name / Credentials Updated March 28, 2019

Recorded as PHILIP BYSTROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205397668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2019
Last Update: April 11, 2025
Sole Proprietor: No

Mailing Address

817 Oak St

Kalamazoo, MI 490081131

Phone: 2693122743

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.