Individual
MRS. ANGELA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 E JACKSON ST, LOMBARD, IL 60148-3709
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3988
(630) 682-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041260406
IL
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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