Llana, Angelo
Llana, Angelo is an sole proprietor health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Llana, Angelo can be contacted via phone (217) 223-8400.Contact Information
Primary practice address
1005 Broadway St
Quincy IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-9945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036144816 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R6J78 | Missouri |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | R6J78 | Missouri |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036144816 | Illinois |
Profile Details
NPI number | 1275562951 |
---|---|
LBN Legal business name | Llana, Angelo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275562951 | NPPES |
Missouri | MEDICAID | 202642013 | |
Missouri | MEDICAID | 100117500B | |
Missouri | Other | 110096079 | |
Missouri | MEDICAID | 036144816 |
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