Individual provider Active NPI

Rowell Angeles

  • Family Nurse Practitioner
  • Waukegan, IL
National Provider Identifier
1528829892
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029069 Issued in IL
Practice address
724 N Green Bay Rd
Waukegan, IL 60085-2236
Phone
(847) 901-8400
NPI assigned
Jan 23, 2024
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.029069 IL Primary

Addresses

Primary practice location

724 N Green Bay Rd
Waukegan, IL 60085-2236

Mailing address

724 N Green Bay Rd
Waukegan, IL 60085-2236
Phone (847) 272-9500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003055 IL Practitioner - Nurse Practitioner 9931543444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Healthcare Source PLLCGroup PAC ID 6709320526, 5 clinicians
Lake County Immediate Care, LLCGroup PAC ID 6204158280, 15 clinicians

Practice addresses (Care Compare)

1366 S Milwaukee Ave
Libertyville, IL 60048-3795
Phone (847) 236-0323

724 N Green Bay Rd
Waukegan, IL 60085-2236
Phone (847) 901-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.029069ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Morton Grove SC CurrentSince Jan 1, 2024 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince May 12, 2024 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Jun 16, 2025 Accepting new patients
Lake County Immediate Care, LLC CurrentSince Jun 16, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince May 12, 2024 Accepting new patients
Northwest Chicago Urgent Care SC CurrentSince Jan 9, 2024 Accepting new patients
Your Healthcare Source PLLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

420 E Il Route 173
Ste 101
Antioch, IL 60002
Phone (847) 652-9700

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1849 Green Bay Rd
Ste 171
Highland Park, IL 60035
Phone (847) 901-8400

1366 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 236-0323

6841 Dempster St
Morton Grove, IL 60053
Phone (224) 200-9000

1616 Grand Ave
Ste A
Waukegan, IL 60085
Phone (847) 249-1733

724 N Green Bay Rd
Waukegan, IL 60085
Phone (847) 901-8400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1528829892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852236",
            "telephone_number": "847-272-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852236",
            "telephone_number": "847-901-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "ROWELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.