Provider Demographics
NPI:1245963008
Name:MUELLER, AUSTIN (DPM)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:MUELLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14017 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BREESE
Mailing Address - State:IL
Mailing Address - Zip Code:62230-3647
Mailing Address - Country:US
Mailing Address - Phone:618-526-7154
Mailing Address - Fax:618-526-8248
Practice Address - Street 1:14017 JAMESTOWN RD
Practice Address - Street 2:
Practice Address - City:BREESE
Practice Address - State:IL
Practice Address - Zip Code:62230-3647
Practice Address - Country:US
Practice Address - Phone:618-526-7154
Practice Address - Fax:618-526-8248
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135.001171213ES0103X
IL016006106213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty