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Emmanuel Roberto Angeles, APN

Nurse Practitioner, Acute Care in Elgin, IL. Individual provider (NPI-1).

NPI number1629310503
StatusActive
Last updated in NPPESApr 7, 2025

Details

NPI
1629310503
Entity type
Individual (NPI-1)
Name
Mr. Emmanuel Roberto Angeles
Credential
APN
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2013
Certification date
Apr 7, 2025
Last updated
Apr 7, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care209-009044ILYes
363L00000X Nurse Practitioner209-009044IL

Practice location

1435 N Randall Rd Ste 201
Elgin, IL 60123-2303

Phone 847-695-3168

Mailing address

1435 N Randall Rd Ste 201
Elgin, IL 60123-2303

Phone 847-695-3168

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Acute Care Nurse Practitioner providers in Elgin, IL

All 5 Acute Care Nurse Practitioner providers in Elgin · All 3,029 providers in Elgin

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