Individual
KRISTEN NICOLE DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4440 W 95TH ST STE 407, OAK LAWN, IL 60453-2600
(708) 684-4029
(708) 684-4033
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-011382
IL
363AS0400X
Surgical Physician Assistant
Primary
085-011382
IL
Other
Enumeration date
04/22/2025
Last updated
11/06/2025
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