MS. SALLY JANE MUICH


Address: 180 S 3rd St, 300, Belleville, IL 62220-1952
Phone: 6182335480

MS. SALLY JANE MUICH (NPI# 1063515385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063515385
Entity Type Individual
Full Name MS. SALLY JANE MUICH
Other Name SALLY JANE MUICH
Credential NP
Practice Address 180 S 3rd St
300
Belleville
IL 62220-1952
Practice Telephone 6182335480
Practice Fax Number 6182224972
Mailing Telephone 6182335480
Mailing Fax Number 6182224972
Enumeration Date 2006-09-06
Last Update Date 2012-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0600X Registered Nurse
Specialization: Gerontology
099684 MO Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
209006132 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 180 S 3RD ST
300
City BELLEVILLE
State IL
Zip Code 62220-1952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477548238 Rhonda G Ozanian Social Worker 180 S 3rd St, Suite 400, Belleville, IL 62220-1952 2005-09-16
1346690625 Dane Bay Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2016-06-16
1518317056 Joseph August Yoha Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2016-06-15
1548610017 Daniela Vincent Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2016-06-15
1568811321 Marcus R Hennon Family Medicine 180 S 3rd St, Belleville, IL 62220-1952 2016-06-11
1518316728 Sana Usman Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2016-06-08
1053769992 Michelle Baker Family Medicine 180 S 3rd St, Belleville, IL 62220-1952 2016-06-01
1356722151 Imran Khan Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2015-06-17
1790166965 Jennifer Woosley Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2015-06-14
1619358900 Gretta Carroll Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2015-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407304728 Maureen Julia Dunajcik Nurse Practitioner 4700 Memorial Dr Ste 250, Belleville, IL 62226-5373 2016-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316553472 Nicholas Johnson Nurse Practitioner 8455 S Luella Ave, Chicago, IL 60617-1953 2020-09-23
1710592175 Mary Maloney Nurse Practitioner 348 Westglen Dr, Glen Carbon, IL 62034-1002 2020-09-12
1134738800 Benjamin Scott Hulfachor Nurse Practitioner 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 2020-07-28
1083222368 Izolda Rosario Nurse Practitioner 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 2020-07-22
1043832785 Melanie Glander Nurse Practitioner 18357 Cowing Ct, Homewood, IL 60430-3332 2020-05-16
1699306902 Ife Muyiwa-ojo Nurse Practitioner 729 E Carpenter St, Springfield, IL 62702-5321 2020-01-27
1962040345 Doctors Orders Inc. Nurse Practitioner 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 2019-12-16
1801455993 Parul Arora Nurse Practitioner 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 2019-06-11
1891358222 Kelly Jo Erke Nurse Practitioner 20830 N 1970 East Rd, Danville, IL 61834-6228 2019-04-22
1689136319 Brittany Sue Borkowski Nurse Practitioner 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 2019-04-02
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Competitor

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City BELLEVILLE
Zip Code 62220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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