Provider Demographics
NPI:1407043391
Name:GOTTEMOLLER-MUELLER, JULIE (ACNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:GOTTEMOLLER-MUELLER
Suffix:
Gender:
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MARTIN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6535
Mailing Address - Country:US
Mailing Address - Phone:630-600-0700
Mailing Address - Fax:630-600-0701
Practice Address - Street 1:10 MARTIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6535
Practice Address - Country:US
Practice Address - Phone:630-600-0700
Practice Address - Fax:630-600-0701
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004398363L00000X
AZ259671363LA2100X
IL209003352363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL236551OtherMEDICARE GROUP NUMBER
ILNPI #1508810086OtherHEART CARE CENTERS OF ILLINOIS, S.C. GROUP NPI #
IL01621208OtherBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
ILCD8033OtherRAILROAD MEDICARE PART B GROUP NUMBER
IL416810OtherMEDICARE GROUP NUMBER
IL041199983Medicaid
ILP00477809OtherRAILROAD MEDICARE PART B PTAN
IL236550OtherMEDICARE GROUP NUMBER
ILP00477809OtherRAILROAD MEDICARE PART B PTAN
IL041199983Medicaid
IL416810OtherMEDICARE GROUP NUMBER