Individual
DR. DAVID L. MUTCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9669 KENTON AVE, SUITE 608, SKOKIE, IL 60076-1266
(847) 677-4111
(847) 677-3343
Mailing address
9669 KENTON AVE, SUITE 608, SKOKIE, IL 60076-1266
(847) 677-4111
(847) 677-3343
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036038702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036038702
—
IL
Enumeration date
03/27/2006
Last updated
07/12/2019
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