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NPI Code Detail

MEDICARE: KATHRYN DELLA D'ANGELO MSN, RN, AGACNP-BC

MEDICARE: KATHRYN DELLA D'ANGELO MSN, RN, AGACNP-BC
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
1363L00000XNurse Practitioner431624NY
2363L00000XNurse Practitioner209030200IL

General Provider Information

NPI Number : 1851932362
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN DELLA D'ANGELO MSN, RN, AGACNP-BC
Provider Business Mailing Address
First Line : 211 E ONTARIO ST STE 700
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3281
Country : US
Telephone Number : 312-926-0001
Fax Number : 312-926-4588
Provider Business Practice Location Address
First Line : 211 E ONTARIO ST STE 700
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3281
Country : US
Telephone Number : 312-926-0001
Fax Number : 312-926-4588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2019
Last Update Date : 10/01/2024

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Directions to “ KATHRYN DELLA D'ANGELO MSN, RN, AGACNP-BC” Practice Location

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