| Dr Elizabeth Rose Mueller, | |
|
2160 S First Ave, Maywood, IL 60153 | |
| (708) 216-5102 | |
| (708) 216-1699 |
| Full Name | Dr Elizabeth Rose Mueller |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 2160 S First Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871569186 | NPI | - | NPPES |
| K17440 | Other | IL | MEDICARE |
| 36104051 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 36104051 (Illinois) | Primary |
| Entity Name | Little Company Of Mary Affiliated Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Rose Mueller, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-5102 | Dr Elizabeth Rose Mueller, 2160 S First Ave, Maywood, IL 60153 Ph: (708) 216-5102 |
Timothy Moonhwan Han, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8467 | |
Dr. Liam Hatch, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6901 Fax: 708-216-6585 | |
Christopher Gonzalez, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Grace Bayudan Delos Santos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Kristin Baldea, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8152 | |
Dr. Derek John Matoka, MD Urology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153 Phone: 708-216-6266 Fax: 708-216-6585 | |
Gopal N. Gupta, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153 Phone: 708-216-5098 Fax: 708-126-1699 |