Mary Lu Angelilli, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301044538 Issued in MI

Practice address

3950 Beaubien - 1St FL
Childrens Hospital Mi Ambulatory Peds (2ND Floor)
Detroit, MI 48201

Phone

(313) 832-8290

Fax

(313) 993-0081

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1982642005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BEAUBIEN - 1ST FL",
            "address_2": "CHILDRENS HOSPITAL MI AMBULATORY PEDS (2ND FLOOR)",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-832-8290",
            "fax_number": "313-993-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELILLI",
        "first_name": "MARY",
        "middle_name": "LU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301044538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerky Guevara Angeles, BSN RN
• Angelhands Homecare
• Angelic Assistance Agency LLC
• Angelic Care Services
• Angelical Hands Wound Care, LLC
• Angelina Udoeyop
• Meredith Angelinas
• Kaylee Angelito
• Angels Helping Hands
• Angels Home Care Company LLC

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.