Individual
DR. ANGELICA KATHLEEN GIERUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27650 FERRY RD STE 210, WARRENVILLE, IL 60555-3846
(630) 933-7400
(630) 315-8979
Mailing address
27650 FERRY RD STE 210, WARRENVILLE, IL 60555-3846
(630) 933-7400
(630) 315-8979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.120917
IL
207RR0500X
Rheumatology Physician
Primary
036.120917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400284365
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
09/06/2008
Last updated
04/25/2022
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