Individual
JOSEPH ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1934 N WASHTENAW AVE APT 406, CHICAGO, IL 60647-7157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138229
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2012
Last updated
09/15/2015
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