Individual
JULIE GOTTEMOLLER-MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-004398
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209003352
IL
363LA2100X
Acute Care Nurse Practitioner
259671
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL
05
—
041199983
—
IL
01
—
236550
MEDICARE GROUP NUMBER
IL
01
—
236551
MEDICARE GROUP NUMBER
IL
01
—
416810
MEDICARE GROUP NUMBER
IL
01
—
CD8033
RAILROAD MEDICARE PART B GROUP NUMBER
IL
01
—
NPI #1508810086
HEART CARE CENTERS OF ILLINOIS, S.C. GROUP NPI #
IL
01
—
P00477809
RAILROAD MEDICARE PART B PTAN
IL
Enumeration date
09/25/2007
Last updated
04/25/2025
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