Provider Demographics
NPI:1437283520
Name:MUEHL, JESSICA L (PT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:MUEHL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:L
Other - Last Name:KREHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:600 OAKMONT LN
Mailing Address - Street 2:STE 600C
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:
Practice Address - Street 1:5300 N ILLINOIS
Practice Address - Street 2:SUITE 101
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:32208-2700
Practice Address - Country:US
Practice Address - Phone:618-624-9300
Practice Address - Fax:618-624-9330
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070015339225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist