Healthcare Provider Details

I. General information

NPI: 1588998165
Provider Name (Legal Business Name): AARON J MULLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N OAK ST
HINSDALE IL
60521-3829
US

IV. Provider business mailing address

939 W MADISON ST UNIT 302
CHICAGO IL
60607-2638
US

V. Phone/Fax

Practice location:
  • Phone: 847-991-0440
  • Fax:
Mailing address:
  • Phone: 312-455-9559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number125-056399
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: