Individual
DR. RAJA KANNAN MUTHARASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER 19-100, CHICAGO, IL 60611-5975
(312) 926-2000
Mailing address
676 N SAINT CLAIR ST, STE 600, CHICAGO, IL 60611-2927
(312) 926-2704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36114406
IL
207RC0000X
Cardiovascular Disease Physician
Primary
36114406
IL
Other
Enumeration date
03/31/2007
Last updated
10/24/2016
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