Anne Elizabeth Angelo, M.H.S. CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Batavia, IL
NPI 1497812929 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1497812929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146007210 (IL)
- Practice address
- 1049 East Wilson Street
Suite 100
Batavia, IL 60510 - Phone
- (630) 761-0900
- Fax
- (630) 761-0909
- NPI assigned
- Jan 3, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146007210 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146007210 | IL | Yes |
Addresses
Primary practice location
1049 East Wilson Street
Suite 100
Batavia, IL 60510
Mailing address
1049 East Wilson Street
Suite 100
Batavia, IL 60510
Phone (630) 761-0900
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All providers in Batavia, 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 May 14, 2013. 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.