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Kristen Nicole Deangelis, PA

Physician Assistant, Surgical in Oak Lawn, IL. Individual provider (NPI-1).

NPI number1801683099
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1801683099
Entity type
Individual (NPI-1)
Name
Kristen Nicole Deangelis
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2025
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical085-011382ILYes
363A00000X Physician Assistant085-011382IL

Practice location

4440 W 95th St Ste 407
Oak Lawn, IL 60453-2600

Phone 708-684-4029 · Fax 708-684-4033

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

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