1801075429 NPI 1053293415

NPI Information

  • NPI: 1053293415
  • Provider Name: 1801075429
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 7531 S STONY ISLAND AVE STE 169
    CHICAGO, IL
    ZIP 60649
  • Phone: (773) 947-7715

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NPI Details

1801075429 is a pulmonary disease internal medicine in Chicago, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. 1801075429 NPI is 1053293415. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7531 S STONY ISLAND AVE STE 169
CHICAGO, IL
ZIP 60649-954
Phone: (773) 947-7715
Fax: (773) 947-7715

The provider's authorized official is Petham Muthuswamy .
The authorized official title is President and has the following contact phone number (773) 562-6209.

The enumeration date for this NPI number is 7/24/2025 and was last updated on 7/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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