Individual
KATHERINE MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 CORAL RD, WONDER LAKE, IL 60097-8211
(719) 205-1606
Mailing address
8701 CORAL RD, WONDER LAKE, IL 60097-8211
(719) 205-1606
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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