Mueller, Elizabeth Rose

Mueller, Elizabeth Rose is an individual health care provider with primary practice located at 2160 S First Ave , Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Mueller, Elizabeth Rose can be contacted via phone (708) 216-5102.

Contact Information

Primary practice address
2160 S First Ave Maywood IL 60153
Phone: (708) 216-5102
Fax: (708) 216-1699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36104051 Illinois

Profile Details

NPI number 1871569186
LBN Legal business name Mueller, Elizabeth Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 12th, 2023 - about last year

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 1871569186 NPPES
Illinois Other K17440 MEDICARE
Illinois MEDICAID 36104051 MEDICARE

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