Individual provider Active NPI

Angela Marie Huisman, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1902972524
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003225 Issued in IL
Practice address
1725 S Wabash Ave
Chicago, IL 60616-1219
Phone
(872) 231-3162
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1284 NE
Physician Assistant 363A00000X 085003225 IL Primary

Addresses

Primary practice location

1725 S Wabash Ave
Chicago, IL 60616-1219

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other identifiers 1

IdentifierTypeStateIssuer
085.003225OtherILLICENSE

Other names 1

  • Angela Marie Kastl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080823000031 IL Practitioner - Physician Assistant 9638244759 Reassigns benefits to 1 organization
I20191211000931 IN Practitioner - Physician Assistant 9638244759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085003225ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Sep 14, 2015 Accepting new patients

Locations

165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001

6450 N Ridge Blvd
Chicago, IL 60626
Phone (773) 742-8700

4437 S Cicero Ave
Chicago, IL 60632
Phone (773) 284-1421

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

1251 E Richton Rd
Crete, IL 60417
Phone (708) 367-4414

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

19000 Halsted St
Homewood, IL 60430
Phone (708) 957-5161

940 Maple Rd
Homewood, IL 60430
Phone (708) 799-0244

8333 W Golf Rd
Niles, IL 60714
Phone (847) 966-9190

270 Skokie Blvd
Northbrook, IL 60062
Phone (773) 620-1974

2145 E 170th St
South Holland, IL 60473
Phone (708) 849-5000

2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1902972524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161219",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUISMAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1284",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "085.003225",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KASTL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.