Stephanie Dangelo, MSN, ANP

Individual provider Active NPI Adult Health Nurse Practitioner · Lemont, IL

NPI 1750302014 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1750302014
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
041303612 (IL)
Practice address
9700 S Cass Ave
Lemont, IL 60439-4801
Phone
(630) 252-1661
Fax
(630) 252-6615
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041303612ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Head to Toe Health & Wellness Past
since Apr 12, 2013
Accepting new patients
Christine L. Hoch Enterprises, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X
Adult Health Nurse Practitioner 363LA2200X 041303612 IL Yes

Addresses

Primary practice location

9700 S Cass Ave
Lemont, IL 60439-4801

Mailing address

9700 S Cass Ave
Lemont, IL 60439-4801
Phone (630) 252-1661

Other names

  • Stephanie Dangelo Miazga Former name

Other providers in Lemont, IL

All providers in Lemont, IL · Adult Health Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.