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Individual

NATALIA JIVKOVA ANGELOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-3727
Mailing address
58 LINCOLNSHIRE DR, LINCOLNSHIRE, IL 60069-3128

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.472590
IL
363L00000X
Nurse Practitioner
Primary
209.027044
IL

Other

Enumeration date
02/08/2023
Last updated
04/04/2023
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