Individual
DR. CHRISTOPHER CARL MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 942-4500
Mailing address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:057571
IL
2084N0400X
Neurology Physician
036-143894
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
036-143894
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201311130
—
IN
Enumeration date
05/26/2010
Last updated
01/27/2021
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