Individual
ANGELO MIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 THORNHILL DR, CAROL STREAM, IL 60188-2793
(630) 668-3210
(630) 668-3505
Mailing address
501 THORNHILL DR, CAROL STREAM, IL 60188-2793
(630) 668-3210
(630) 668-3505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064705
—
IL
01
—
920540
MEDICARE GROUP PTAN
IL
01
—
CA4748
MEDICARE GROUP RR PTAN
IL
01
—
F400137214
MEDICARE INDIVIDUAL PTAN
IL
01
—
P01328176
MEDICARE INDIVIDUAL RR PTAN
IL
Enumeration date
09/16/2006
Last updated
06/24/2016
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