IndividualActive
Albin Mutholam, PT, DPT
NPI 1376213389 · Orthopedic Physical Therapist · Chicago, IL
Provider details
- NPI number
- 1376213389
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1611 W Harrison St
Chicago, IL 60612-4861
Phone: (312) 243-4244
Approximate (ZIP-level) locationGet directions
Mailing address
1611 W Harrison St
Chicago, IL 60612-4861
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.