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ANGELA T HAGE
17837 S 80TH AVE TINLEY PARK IL 604775023
ANGELA T HAGE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1306150305. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7416113121. The primary specialty is PHYSICAL THERAPY. The organization is ATHLETICO LTD. The address is 17837 S 80TH AVE, , TINLEY PARK, IL, 604775023. The zip code is 604775023.
|Nation Provider ID||1306150305|
|PAC ID by PECOS||7416113121|
|Professional Enrollment ID||I20120725000215|
|Name||ANGELA T HAGE|
|Medical School Name||OTHER|
|Primary Specialty||PHYSICAL THERAPY|
|All secondary specialties|
|Organization Name||ATHLETICO LTD|
|Group Practice PAC ID||4789602681|
|Number of Group Practice members||127|
|Address||17837 S 80TH AVE, , TINLEY PARK, IL, 604775023|
|Hospital affiliation LBN|