MEDICARE: ANGELIKA OPIELA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	309.009776	IL
2	363LF0000X	Family Nurse Practitioner	277.000394	IL

General Provider Information

NPI Number	:	1992254155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIKA OPIELA FNP-C

Provider Business Mailing Address
First Line	:	4256 N ARLINGTON HEIGHTS RD STE 204
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7433
Country	:	US
Telephone Number	:	847-250-0214
Fax Number	:	847-221-6961

Provider Business Practice Location Address
First Line	:	4256 N ARLINGTON HEIGHTS RD STE 204
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7433
Country	:	US
Telephone Number	:	847-250-0214
Fax Number	:	847-221-6961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2016
Last Update Date	:	07/21/2025

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