Angela Campbell
Individual provider Active NPI Nurse Practitioner · Winfield, IL
NPI 1013342906 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1013342906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209010885 (IL)
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1379 - Phone
- (630) 933-1172
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041362244 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taras W. Didenko, MD, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041362244 | IL | |
| Nurse Practitioner | 363L00000X | 209010885 | IL | Yes |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-1172
Other providers in Winfield, IL
- Cadence Health
- Anne M. Callanan
- Patricia L Calvin
- Angela Lubke Cambic
- Roxann Camparone
- James J. Cannon
- Antonietta Caporale
- Lauren Carlos
- Jennifer L Carlson
- Tracy Lynne Carlson
All providers in Winfield, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.