Hemant Raj Mutneja, MD | |
1969 W Ogden Ave, Chicago, IL 60612-3765 | |
(312) 864-6000 | |
Not Available |
Full Name | Hemant Raj Mutneja |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 1969 W Ogden Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891136222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036139828 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John H Stroger Jr Hospital | Chicago, IL | Hospital |
Provident Hospital Of Chicago | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cook County | 2860398088 | 645 |
Entity Name | Cook County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
---|---|
Hemant Raj Mutneja, MD 1950 W Polk St Fl 6, Chicago, IL 60612-3723 Ph: (312) 864-7358 | Hemant Raj Mutneja, MD 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (312) 864-6000 |
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