# PETHAM MUTHUSWAMY, M.D., SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801075429
- **Authorized official:** DR. PETHAM MUTHUSWAMY M.D. (PRESIDENT)
- **Authorized official phone:** (773) 947-7715

## Contact information

- **Practice address:** 7531 S STONY ISLAND AVE, 169, CHICAGO, IL 60649-3954
- **Practice address phone:** (773) 947-7715
- **Practice address fax:** (773) 643-0175
- **Mailing address:** 7531 S STONY ISLAND AVE, 169, CHICAGO, IL 60649-3954
- **Mailing address phone:** (773) 947-7715
- **Mailing address fax:** (773) 643-0175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 08/13/2013