Active NPI
Angela Intili, M.D.
- Obstetrics & Gynecology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036087434
- Practice address
- 1415 Essington Rd
Joliet, IL 60435-2873 - Phone
- (815) 729-2084
- Fax
- (815) 729-2304
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036087434 | IL | Primary |
Addresses
Primary practice location
1415 Essington Rd
Joliet, IL 60435-2873
Mailing address
1415 Essington Rd
Joliet, IL 60435-2873
Phone (815) 729-2084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087434 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1415 Essington Rd
Joliet, IL 60435-2873
Phone (815) 729-2084
Hospital & facility affiliations
- Saint Joseph Medical Center
- Silver Cross Hospital and Medical Centers
- Morris Hospital & Healthcare Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036087434 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vna Health Care | Current | Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Angela Intili MD LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Vna Health Care | Current | Accepting new patients | |
| Southwest Aesthetics and Body Sculpture, LLC | Past | Accepting new patients | |
| Presence Central and Suburban Hospitals Network | Past | Accepting new patients |
Locations
400 N Highland Ave
Aurora, IL 60506
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
333 Madison St
Ste 1024
Joliet, IL 60435
Phone (815) 773-7080
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Joliet, IL
- NPI 1245410315
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
- General Practice Physician
- Aurora, IL
- NPI 1508826983
-
- Federally Qualified Health Center (FQHC)
- Aurora, IL
- NPI 1700910981
-
- Neonatal-Perinatal Medicine Physician
- Joliet, IL
- NPI 1447596630
-
- Specialist
- Shorewood, IL
- NPI 1609017011
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1114080033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 ESSINGTON RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352873",
"telephone_number": "815-729-2084",
"fax_number": "815-729-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 ESSINGTON RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352873",
"telephone_number": "815-729-2084",
"fax_number": "815-729-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTILI",
"first_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036087434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087434",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.