Healthcare Provider Details
I. General information
NPI: 1588512453
Provider Name (Legal Business Name): ANGELA MEANS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/17/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7745 S CHRISTIANA AVE
CHICAGO IL
60652-1511
US
IV. Provider business mailing address
7745 S CHRISTIANA AVE
CHICAGO IL
60652-1511
US
V. Phone/Fax
- Phone: 773-621-2471
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: