MEDICARE: PAUL SANTANGELO DPM PC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CJ8801	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01632760	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1326074055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL SANTANGELO DPM PC

Provider Business Mailing Address
First Line	:	8145 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2828
Country	:	US
Telephone Number	:	847-470-0555
Fax Number	:	847-470-0019

Provider Business Practice Location Address
First Line	:	8145 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2828
Country	:	US
Telephone Number	:	847-470-0555
Fax Number	:	847-470-0019

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL A SANTANGELO
Credential	:	DPM
Telephone Number	:	847-470-0555

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	04/30/2015

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Directions to “PAUL SANTANGELO DPM PC ” Practice Location

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