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Individual

MS. ANGELA JUNE KOSTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
1450 E DIVISION ST, DIAMOND, IL 60416-6050
(815) 634-3500
(815) 705-1718
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012316
IL
363LF0000X
Family Nurse Practitioner
209.012316
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.012316
IL LICENSE
IL
Enumeration date
12/30/2014
Last updated
04/09/2026
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