Angela M. Egly, M.D.
Individual provider Active NPI Internal Medicine Physician · Sandwich, IL
NPI 1063529295 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063529295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036098908 (IL)
- Practice address
- 11 E Pleasant Ave
Room 129
Sandwich, IL 60548-1100 - Phone
- (815) 786-6988
- Fax
- (815) 786-1418
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors Egly and Associates PC
Select Rehabilitation, LLC
Practice addresses (Care Compare)
100 S Latham St
Suite 201
Sandwich, IL 60548-1888
Phone (815) 786-6988
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Valley West Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000736 | IL | Practitioner - Internal Medicine | 7315916483 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Egly and Associates PC | Internal Medicine | Current |
Accepting new patients |
Locations
100 S Latham St
Ste 201
Sandwich, IL 60548
Phone (815) 786-6988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036098908 | IL | Yes |
Addresses
Primary practice location
11 E Pleasant Ave
Room 129
Sandwich, IL 60548-1100
Mailing address
203 Willowwood Dr
Oswego, IL 60543-7505
Phone (630) 554-0074
Other providers in Sandwich, IL
- Dot Drugs Inc
- Lindsey Dunsheath
- Edward Health Ventures
- Edward Health Ventures
- Colin Eggleson
- Kevin D Egly
- Andrew Elder
- Jeffry Richard Ellis
- Wendy Lee Emma
- Erik David Englehart
All providers in Sandwich, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.