Angeliqua Fonseca Grange, M.D.

NPI #1972358000 in Mchenry, Illinois

Provider Information

NPI Number
1972358000
Entity Type
Individual
Name
Angeliqua Fonseca Grange, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Apr 22, 2024
Last Updated
Sep 26, 2024

Practice Location

Address
4201 MEDICAL CENTER DRIVE
ZIP Code
60050
Phone
(815) 344-5000

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine

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