Muthalaly, Asha S

Muthalaly, Asha S is an individual health care provider with primary practice located at 903 N 129Th Infantry Dr Suite 600, Joliet IL 60435-3171. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Muthalaly, Asha S can be contacted via phone (815) 744-7246.

Contact Information

Primary practice address
903 N 129Th Infantry Dr Suite 600 Joliet IL 60435-3171
Phone: (815) 744-7246
Fax: (815) 744-7346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036123531 Illinois

Profile Details

NPI number 1619144680
LBN Legal business name Muthalaly, Asha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Nov 8th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619144680 NPPES
Illinois Other 213382 GROUP PTAN
Illinois MEDICAID 036123531 GROUP PTAN
Illinois Other 205574037 GROUP PTAN

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