Individual
HEMANT RAJ MUTNEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1950 W POLK ST FL 6, CHICAGO, IL 60612-3723
(312) 864-7358
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036139828
IL
Other
Enumeration date
07/14/2013
Last updated
05/04/2021
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