Provider Demographics
NPI:1346817913
Name:GOLEMO, ANGELIKA KATARZYNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELIKA
Middle Name:KATARZYNA
Last Name:GOLEMO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 W SPRING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1221
Mailing Address - Country:US
Mailing Address - Phone:708-336-1323
Mailing Address - Fax:
Practice Address - Street 1:1120 E CENTRAL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3220
Practice Address - Country:US
Practice Address - Phone:847-890-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190331361223G0001X
IL019.0331361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice