ANGELA KASTL (NPI# 1679961163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679961163 |
| Entity Type | Individual |
| Full Name | ANGELA KASTL |
| Other Name | ANGELA RATLIFF |
| Practice Address |
1445 N Hunt Club Rd Gurnee IL 60031-2603 |
| Practice Telephone | 8472492800 |
| Practice Fax Number | 8478550766 |
| Mailing Telephone | 8472492800 |
| Mailing Fax Number | 8478550766 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012353 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1445 N HUNT CLUB RD |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787570 | Timothy J Ryan | Specialist | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2005-08-11 |
| 1619383262 | May Arnaiz Suasin | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2014-07-03 |
| 1942445630 | Kara N Easton | Nurse Practitioner | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2008-12-09 |
| 1912192634 | Okner Cardiology Group, LLC | Clinic/Center | 1445 N Hunt Club Rd, 101, Gurnee, IL 60031-2603 | 2007-09-06 |
| 1073704128 | Family Focused Healthcare | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-08-05 |
| 1043410111 | M P M Family Health Inc. | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-07-18 |
| 1376751982 | Walid N. Ghantous Md Ltd | Specialist | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2007-05-18 |
| 1629199344 | North Suburban Medical Office, Ltd | Clinic/Center | 1445 N Hunt Club Rd, Suite 301, Gurnee, IL 60031-2603 | 2007-04-02 |
| 1821137183 | Vcfe of Lake County, Inc | Surgery | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2007-02-05 |
| 1477618155 | Omaima Degani | Internal Medicine | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2006-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581303 | Shawnalee Rochelle Shaw | Nurse Practitioner | 7653 Mendocino Dr, Gurnee, IL 60031-5123 | 2020-09-01 |
| 1932747078 | Viktoriya Rouse-freeman | Nurse Practitioner | 18059 W Banbury Dr, Gurnee, IL 60031-4559 | 2019-12-19 |
| 1356989032 | Mutsa Vollmer | Nurse Practitioner | 731 S Il Route 21 Ste 110, Gurnee, IL 60031-3803 | 2019-12-12 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1932479847 | Alpha B Jarosz | Nurse Practitioner | 17942 W Pond Ridge Cir, Gurnee, IL 60031-4534 | 2012-01-09 |
| 1720604713 | Nickette Enright | Nurse Practitioner | 1445 N Hunt Club Rd Ste 201, Gurnee, IL 60031-2603 | 2020-06-25 |
| 1841819000 | Heather Monge | Nurse Practitioner | 25 Tower Ct, Gurnee, IL 60031-3318 | 2020-04-08 |
| 1538706858 | Marina Deatherage | Nurse Practitioner | 3915 Oglesby Ave, Gurnee, IL 60031-3358 | 2019-12-05 |
| 1699250258 | Ashley Cho | Nurse Practitioner | 135 N Greenleaf St, Gurnee, IL 60031-3393 | 2018-09-30 |
| 1568952612 | Quentin Boyd | Nurse Practitioner | 7501 Grand Ave, Gurnee, IL 60031-1551 | 2018-05-15 |
| Find all providers in GURNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.