Provider Demographics
NPI:1619426822
Name:DUGO-MUNIZZI, ANGELA K (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:K
Last Name:DUGO-MUNIZZI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:K
Other - Last Name:DUGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:10646 S RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3804
Mailing Address - Country:US
Mailing Address - Phone:630-842-1861
Mailing Address - Fax:
Practice Address - Street 1:18225 TORRENCE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2729
Practice Address - Country:US
Practice Address - Phone:708-474-1061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.376211163W00000X
IL277.000720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse