Provider Demographics
NPI:1609164672
Name:OEST, ANGELA MARY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MARY
Last Name:OEST
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:355 W DUNDEE RD
Mailing Address - Street 2:#110
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3500
Mailing Address - Country:US
Mailing Address - Phone:847-541-4878
Mailing Address - Fax:847-520-0500
Practice Address - Street 1:355 W DUNDEE RD
Practice Address - Street 2:STE #110
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3500
Practice Address - Country:US
Practice Address - Phone:847-541-4878
Practice Address - Fax:847-520-0500
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2014-09-25
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Provider Licenses
StateLicense IDTaxonomies
IL085-004053363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical