Dr Angelita Fontanilla, MD is a
Pediatrics - Neonatal-perinatal Medicine physician based in Watseka, Illinois. Dr Angelita Fontanilla is licensed to practice in Indiana (license number 01037992) and her current practice location is 200 Laird Ln, Watseka, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 432-5411.
NPI number for Dr Angelita Fontanilla is 1114076080 and her current mailing address is 200 E Fairman Ave, Watseka, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114076080.
Physician's Profile
Full Name | Dr Angelita Fontanilla |
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Gender | Female |
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Speciality | Pediatrics - Neonatal-perinatal Medicine |
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Location | 200 Laird Ln, Watseka, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114076080
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 03/21/2013
Medical Identifiers
Medical identifiers for Dr Angelita Fontanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114076080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01037992 (Indiana) | 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. Dr Angelita Fontanilla 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 |
Dr Angelita Fontanilla, MD 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-5841 | Dr Angelita Fontanilla, MD 200 Laird Ln, Watseka, IL 60970-7568 Ph: (815) 432-5411 |
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