Provider Demographics
NPI:1891016499
Name:MUHR, ASHLEY T (DO)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:T
Last Name:MUHR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N EOLA RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9409
Mailing Address - Country:US
Mailing Address - Phone:630-646-6250
Mailing Address - Fax:630-236-2363
Practice Address - Street 1:1222 N EOLA RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9409
Practice Address - Country:US
Practice Address - Phone:630-646-6250
Practice Address - Fax:630-236-2363
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036131127207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03613127Medicaid
IL03613127Medicaid
ILCH3246OtherMEDICARE RR (GROUP)
ILP01297236OtherMEDCIARE RR (INDIVIDUAL)
IL592050OtherMEDICARE PTAN (GROUP)