Individual
DR. MUTENA B. KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6111 HARRISON ST STE 380, MERRILLVILLE, IN 46410-2972
(219) 942-4222
(219) 942-4233
Mailing address
2010 N HARLEM AVE, ELMWOOD PARK, IL 60707-3119
(708) 452-1111
(708) 452-4593
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01055605A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402440
—
IN
Enumeration date
09/20/2006
Last updated
03/13/2025
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