Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1801075429

Organization Pulmonary Disease Physician · NPI 1053293415

1801075429 is a Pulmonary Disease Physician in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7531 S Stony Island Ave Ste 169
Chicago, IL 60649-3954
Phone: (773) 947-7715
Fax: (773) 947-7715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1053293415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petham Muthuswamy — President · (773) 562-6209
Other names Muthuswamy Petham P Md; Petham Muthuswamy Mdsc
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address7531 S Stony Island Ave Ste 169, Chicago, IL 60649-3954

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