Angel Aguilar, PA-C
Individual provider Active NPI Physician Assistant · Oak Park, IL
NPI 1508513805 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1508513805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085008909 (IL)
- Practice address
- 1125 South Blvd Ste 106
Oak Park, IL 60302-2812 - Phone
- (888) 938-3838
- Fax
- (888) 919-1083
- NPI assigned
- Mar 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians to You Home Health Limited
Practice addresses (Care Compare)
6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220927002843 | IL | Practitioner - Physician Assistant | 9234515354 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085008909 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Board of Trustees of the University of Illinois | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085008909 | IL | Yes |
Addresses
Primary practice location
1125 South Blvd Ste 106
Oak Park, IL 60302-2812
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838
Other providers in Oak Park, IL
- Scott Agee
- Ageoptions Inc.
- Michele Agney
- Agruss Center for Health and Wellness LLC
- Susan Agruss
- Maria A Aguinaco Shelledy
- Maria Aguinaldo
- Orit Aharon
- Maryclaire Ahlgren
- Baian Ahmad
All providers in Oak Park, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. 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.