| Doctor Name: | KATIE ANGEL |
| NPI Number: | 1023020815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.P.C. |
| License Number: | |
| Business Practice Address: | 550 Main St Antioch, IL - 600021327 |
| Business Phone Number: | 8478389904 |
| Business Fax Number: | 8478389907 |
| Mailing Address: | 550 Main St, ANTIOCH |
| State: | IL |
| Postal Code: | 600021327 |
| Phone Number: | 8478389904 |
| Fax Number: | 8478389907 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |