Dr. Amelia K Angelo
Dentist Pediatric Dentist
6036 N Northwest Hwy
Chicago
, Illinois 60631-2518
Dr. Amelia K Angelo
Dentist Pediatric Dentist
6036 N Northwest Hwy
Chicago
, Illinois 60631-2518
(847) 845-3473
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Amelia K Angelo
- Po Box 915
- Park Ridge, IL
- Zip : 60068-0915
- Phone : (847) 845-3473
Second Address
- Dr. Amelia K Angelo
- 6036 N Northwest Hwy
- Chicago, IL
- Zip : 60631-2518
- Phone : (773) 377-5658
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | PENDING | IL |
| Y | 1223P0221X | Pediatric Dentist | 021003052 | IL |
National Provider Identifier
| NPI | 1104317510 |
|---|---|
| Provider Name | Dr. Amelia K Angelo |
| First Address | Park Ridge, IL 60068-0915 |
| Second Address | Chicago, IL 60631-2518 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2018 |
| Last Update Date | 11/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.