Organization
ANGELA INTILI MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA INTILI (OWNER)
(815) 729-2084
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087434
—
IL
Enumeration date
11/06/2007
Last updated
03/03/2009
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