Angelo, Amelia K
Angelo, Amelia K is an individual health care provider with primary practice located at 6036 N Northwest Hwy , Chicago IL 60631-2518. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Angelo, Amelia K can be contacted via phone (773) 377-5658.Contact Information
Primary practice address
6036 N Northwest Hwy
Chicago IL 60631-2518
Phone: (773) 377-5658
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | PENDING | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Illinois | |
Dental Providers / Pediatric Dentistry | 1223P0221X | 021003052 | Illinois |
Profile Details
NPI number | 1104317510 |
---|---|
LBN Legal business name | Angelo, Amelia K |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2018 |
Last updated | Feb 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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