Healthcare Provider Details

I. General information

NPI: 1578498044
Provider Name (Legal Business Name): CATHRINA ANNE ANGELES AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8038 MACINTOSH LN
ROCKFORD IL
61107-5336
US

IV. Provider business mailing address

8038 MACINTOSH LN
ROCKFORD IL
61107-5336
US

V. Phone/Fax

Practice location:
  • Phone: 815-332-6800
  • Fax: 815-332-6810
Mailing address:
  • Phone: 815-332-6800
  • Fax: 815-332-6810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: