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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871569186 | NPPES |
Illinois | Other | K17440 | MEDICARE |
Illinois | MEDICAID | 36104051 | MEDICARE |
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