Individual
ANGELA L MICIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E TERRA COTTA AVE STE B, CRYSTAL LAKE, IL 60014-3621
(815) 759-6363
(815) 759-6360
Mailing address
750 E TERRA COTTA AVE STE B, CRYSTAL LAKE, IL 60014-3621
(815) 759-6363
(815) 759-6360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.164827
IL
Other
Enumeration date
03/22/2018
Last updated
06/20/2025
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