OrganizationActive
1801075429
NPI 1053293415 · Pulmonary Disease Physician · Chicago, IL
Provider details
- NPI number
- 1053293415
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Petham Muthuswamy, President
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
Registry dates
- Enumerated
- 2025-07-24
- Last updated
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.