Active NPIOrganization

1801075429

Internal Medicine, Pulmonary Disease in Chicago, Illinois

NPI Number1053293415
Practice location
7531 S Stony Island Ave Ste 169, Chicago, IL 60649-3954
Fax
773-947-7715
Last updated
July 24, 2025

1801075429 is a healthcare organization based in Chicago, IL. The NPI number for 1801075429 is 1053293415. The current practice location address is 7531 S Stony Island Ave Ste 169, Chicago, IL 60649-3954 and the office can be reached by phone at 773-947-7715 and by fax at 773-947-7715. The NPI was assigned on July 24, 2025 and the record was last updated in NPPES on July 24, 2025.

●Provider Profile Details

NPI Number
1053293415
Provider Name
1801075429
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Organization Subpart
No
Authorized Official
Dr. Petham Muthuswamy, MD · President · 773-562-6209
Enumeration Date
July 24, 2025
Last Update Date
July 24, 2025
Certification Date
July 24, 2025
NPI Status
Active
Other Names
Petham Muthuswamy Mdsc (Doing Business As)
Muthuswamy Petham P MD (Doing Business As)

◉Business Practice Location Address

Address
7531 S Stony Island Ave Ste 169
Chicago, IL 60649-3954
ZIP
60649-3954
Country
US
Phone Number
773-947-7715
Fax Number
773-947-7715

Get directions →

✉Business Mailing Address

Address
7531 S Stony Island Ave Ste 169
Chicago, IL 60649-3954
City
Chicago
State
IL
ZIP
60649-3954
Phone Number
773-947-7715
Fax Number
773-947-7715

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Pulmonary Disease
193400000X - Single Specialty Group
207RP1001XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 1801075429?

The NPI number of 1801075429 is 1053293415. It was assigned on July 24, 2025 and is currently active in the NPPES registry.

What is the specialty of 1801075429?

1801075429 is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X).

Where does 1801075429 practice?

The practice location is 7531 S Stony Island Ave Ste 169, Chicago, IL 60649-3954. The office can be reached at 773-947-7715 (phone) or 773-947-7715 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053293415 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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