Healthcare Provider Details

I. General information

NPI: 1538768387
Provider Name (Legal Business Name): SARA P MUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W PARK AVE STE 150
ELMHURST IL
60126-3348
US

IV. Provider business mailing address

180 W PARK AVE STE 150
ELMHURST IL
60126-3348
US

V. Phone/Fax

Practice location:
  • Phone: 630-884-9021
  • Fax:
Mailing address:
  • Phone: 815-530-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180017127
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178016905
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: