Angelia Faller, is a
Counselor - Professional based in Polo, Illinois. Angelia Faller is licensed to practice in Illinois (license number 178.016996) and her current practice location is
100 S Union Ave, Polo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 946-3314.
NPI number for Angelia Faller is 1194392282 and her current mailing address is 100 S Union Ave, Polo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194392282.
Healthcare Provider's Profile
Full Name | Angelia Faller |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 100 S Union Ave, Polo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194392282
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 06/07/2021
Medical Identifiers
Medical identifiers for Angelia Faller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194392282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178.016996 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelia Faller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angelia Faller, 100 S Union Ave, Polo, IL 61064-1724 Ph: () - | Angelia Faller, 100 S Union Ave, Polo, IL 61064-1724 Ph: (815) 946-3314 |
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