# DR. AMELIA K ANGELO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104317510
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | PENDING | IL | — |
| 1223P0221X | Pediatric Dentistry | 021003052 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | IL | — |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 02/11/2021