Organization · NPI-2

1801075429

Internal Medicine, Pulmonary Disease · Chicago, IL

NPI number1053293415
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1053293415
Entity type
Organization (NPI-2)
Legal business name
1801075429
Organization subpart
No
Enumeration date
Jul 24, 2025
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease––Yes

Other names

  • Petham Muthuswamy Mdsc (Doing Business As)
  • Muthuswamy Petham P MD (Doing Business As)

Practice location

7531 S Stony Island Ave Ste 169
Chicago, IL 60649-3954

Phone 773-947-7715 · Fax 773-947-7715

Mailing address

7531 S Stony Island Ave Ste 169
Chicago, IL 60649-3954

Phone 773-947-7715 · Fax 773-947-7715

Authorized official

Petham Muthuswamy
President
7735626209

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine, Pulmonary Disease providers in Chicago, IL