Angela Annarino
Individual provider Active NPI Speech-Language Pathologist · Ottawa, IL
NPI 1497407563 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1497407563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 503 Marcy St
Ottawa, IL 61350-3849 - Phone
- (630) 632-5541
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
503 Marcy St
Ottawa, IL 61350-3849
Mailing address
503 Marcy St
Ottawa, IL 61350-3849
Phone (630) 632-5541
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All providers in Ottawa, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. 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.