Individual
DR. JAMAL MUTHANA
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 60612-3841
(312) 942-4500
Mailing address
1725 W HARRISON ST, STE 1106, CHICAGO, IL 60612-3841
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
036.134896
IL
Other
Enumeration date
06/09/2011
Last updated
10/11/2014
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