Muellner, Phyllis Michelle

Muellner, Phyllis Michelle is an individual health care provider with primary practice located at 1900 Silver Cross Blvd , New Lenox IL 60451-9509. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Muellner, Phyllis Michelle can be contacted via phone (815) 300-7904.

Contact Information

Primary practice address
1900 Silver Cross Blvd New Lenox IL 60451-9509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036-099032 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-099032 Illinois

Profile Details

NPI number 1619983384
LBN Legal business name Muellner, Phyllis Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 21st, 2022 - about 3 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 1619983384 NPPES
Illinois Other 250011649 RAILROAD MEDICARE
Illinois Other 250011937 RAILROAD MEDICARE
Illinois MEDICAID 036099032 RAILROAD MEDICARE

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