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Individual

PHYLLIS MICHELLE MUELLNER

Active
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Individual

PHYLLIS MICHELLE MUELLNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-099032
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036-099032
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036099032
IL
01
250011649
RAILROAD MEDICARE
IL
01
250011937
RAILROAD MEDICARE
IL
Enumeration date
08/01/2006
Last updated
07/21/2022
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