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DR. TIMOTHY ROBERT WYSOZAN MD NPI 1992202717


NPI Information

NPI: 1992202717
Provider Name: DR. TIMOTHY ROBERT WYSOZAN, MD
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
1220 HOBSON RD STE 244
NAPERVILLE, IL
ZIP 60540
Phone: (630) 780-7729
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DR. Timothy Robert Wysozan, MD is a dermatopathology pathology in Naperville, IL with 6 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. DR. Timothy Robert Wysozan, MD NPI is 1992202717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduation Year:2018

The provider's business location address is:

1220 HOBSON RD STE 244
NAPERVILLE, IL
ZIP 60540-138
Phone: (630) 780-7729

The NPI 1992202717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathology036163174ILLINOISNo
2207ZD0900XPathologyDermatopathology01087075AINDIANANo
3207ZD0900XPathologyDermatopathology036163174ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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