person
Angela Rose Depa
Family Nurse Practitioner in Long Grove, Illinois
NPI 1194291237

Angela Rose Depa is a Family Nurse Practitioner based in Long Grove, IL and is specialized in Family. Angela Rose Depa practices in Long Grove, IL. The NPI Number for Angela Rose Depa is 1194291237 and holds a License No. 209018117 (Illinois).

The current practice location address for Angela Rose Depa is 3880 Salem Lake Dr Ste F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
person
Provider Profile Details
NPI Number
1194291237
Provider Name
Angela Rose Depa
Credential
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
10/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2018012582 01 IL CERTIFICATION
209018117 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209018117 (Illinois)
Definition
Definition to come...
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