Provider Demographics
NPI:1770227571
Name:FARLOW, ANGELA KAY (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY
Last Name:FARLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 INVERRARY LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3611
Mailing Address - Country:US
Mailing Address - Phone:224-619-2122
Mailing Address - Fax:
Practice Address - Street 1:1000 APPLE CREEK LN
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6717
Practice Address - Country:US
Practice Address - Phone:847-803-4146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041344793163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse