MS. SALLY JANE MUICH NP
NPI 1063515385
Nurse Practitioner - Gerontology in Belleville, IL

Active since September 06, 2006
180 S 3RD ST, 300, BELLEVILLE, IL 62220(618) 233-5480(618) 222-4972 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Sally Jane Muich Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SALLY JANE MUICH NP (NPI 1063515385) is an individual gerontology provider in Belleville, Illinois, licensed in Illinois (209006132) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063515385
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SALLY JANE MUICHCredential: NP
Location Address180 S 3RD ST, 300Belleville, IL 62220-1952
Mailing Address180 S 3rd St, 300Belleville, IL 62220-1952 · (618) 233-5480 · Fax (618) 222-4972
Fax(618) 222-4972
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateNovember 28, 2012
NPI 1063515385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IL · 209006132
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 099684 (MO)
180 S 3RD ST, Belleville, IL 62220

Other Names 1

Other Name (5)Sally Jane Muich M.s.n., A.p.r.n.

Other Identifiers 1

Medicare UPINP68319MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
180 S 3RD ST, SUITE 400
BELLEVILLE, IL 62220
Specialist
180 S 3RD ST, SUITE 200
BELLEVILLE, IL 62220
Obstetrics & Gynecology
180 S 3RD ST, SUITE 200
BELLEVILLE, IL 62220
Obstetrics & Gynecology (Gynecology)
180 S 3RD ST, SUITE 200
BELLEVILLE, IL 62220
Obstetrics & Gynecology
180 S 3RD ST, SUITE 200
BELLEVILLE, IL 62220
Pharmacist (Pharmacotherapy)
180 S 3RD ST, SUITE 400
BELLEVILLE, IL 62220
Family Medicine
180 S 3RD ST
BELLEVILLE, IL 62220
Clinical Medical Laboratory
180 S 3RD ST, SUITE 200
BELLEVILLE, IL 62220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063515385, enumerated as an "individual" on September 06, 2006.

The provider is located at 180 S 3RD ST 300 BELLEVILLE, IL 62220 and the phone number is (618) 233-5480.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.