Individual
MRS. ANGELA MARIE HUISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 S WABASH AVE, CHICAGO, IL 60616-1219
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003225
IL
363A00000X
Physician Assistant
1284
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.003225
LICENSE
IL
Enumeration date
11/27/2006
Last updated
10/07/2025
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