Individual
DR. ELIZABETH ROSE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S FIRST AVE, MAYWOOD, IL 60153
(708) 216-5102
(708) 216-1699
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5102
(708) 216-1699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36104051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36104051
—
IL
01
—
K17440
MEDICARE
IL
Enumeration date
02/27/2006
Last updated
04/12/2023
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