Individual provider · Type 1 NPI

Kristen Nicole Deangelis, PA

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1801683099 Active

Practice location

4440 W 95th St Ste 407
Oak Lawn, IL 60453-2600

Call (708) 684-4029 Map

Fax (708) 684-4033

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085-011382 (IL)
Surgical Physician Assistant Primary 363AS0400X085-011382 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1801683099

Kristen Nicole Deangelis, PA's National Provider Identifier is 1801683099, issued on Apr 22, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Nov 6, 2025.