Provider Demographics
NPI:1407977838
Name:LEDONNE, ANGELINA D (MS,APRN BC)
Entity Type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:D
Last Name:LEDONNE
Suffix:
Gender:F
Credentials:MS,APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-3459
Mailing Address - Country:US
Mailing Address - Phone:708-756-5454
Mailing Address - Fax:708-756-5451
Practice Address - Street 1:1100 E 87TH ST SUITE 900A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619
Practice Address - Country:US
Practice Address - Phone:708-310-5370
Practice Address - Fax:773-731-5995
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-000296363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health