Individual
JOHN C MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 330, PEORIA, IL 61615-9541
(309) 692-2025
(309) 692-2446
Mailing address
8600 N STATE ROUTE 91, SUITE 330, PEORIA, IL 61615-9541
(309) 692-2025
(309) 692-2446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036068925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068925
—
IL
Enumeration date
04/20/2006
Last updated
07/01/2013
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