Intili, Angela

Intili, Angela is an individual health care provider with primary practice located at 1415 Essington Rd , Joliet IL 60435-2873. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Intili, Angela can be contacted via phone (815) 729-2084.

Contact Information

Primary practice address
1415 Essington Rd Joliet IL 60435-2873
Phone: (815) 729-2084
Fax: (815) 729-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036087434 Illinois

Profile Details

NPI number 1114080033
LBN Legal business name Intili, Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 27th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114080033 NPPES
Illinois MEDICAID 036087434

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