Organization
PETHAM MUTHUSWAMY, M.D., SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETHAM MUTHUSWAMY M.D. (PRESIDENT)
(773) 947-7715
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, 169, CHICAGO, IL 60649-3954
(773) 947-7715
(773) 643-0175
Mailing address
7531 S STONY ISLAND AVE, 169, CHICAGO, IL 60649-3954
(773) 947-7715
(773) 643-0175
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
08/13/2013
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