Individual
ANGELA INTILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 ESSINGTON RD, JOLIET, IL 60435-2873
(815) 729-2084
(815) 729-2304
Mailing address
1415 ESSINGTON RD, JOLIET, IL 60435-2873
(815) 729-2084
(815) 729-2304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036087434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087434
—
IL
Enumeration date
12/19/2006
Last updated
02/27/2009
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