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Emily Marie Gottemoller-Mueller, PA-C

Physician Assistant in Chicago, IL. Individual provider (NPI-1).

NPI number1508348673
StatusActive
Last updated in NPPESSep 21, 2018

Details

NPI
1508348673
Entity type
Individual (NPI-1)
Name
Emily Marie Gottemoller-Mueller
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2018
Last updated
Sep 21, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085.006736ILYes

Practice location

676 N Saint Clair St Ste 850
Chicago, IL 60611-3124

Phone 312-695-6180

Mailing address

676 N Saint Clair St Ste 850
Chicago, IL 60611-3124

Phone 312-695-6180

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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