Individual
BRIE-ANN ALEXANDRA MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 W 203RD ST STE 204, OLYMPIA FIELDS, IL 60461
(708) 679-2670
(708) 503-3260
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-0353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.056383
IL
2080P0202X
Pediatric Cardiology Physician
Primary
036130882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400330012
MEDICARE PTAN
IL
Enumeration date
04/01/2009
Last updated
04/20/2021
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