IndividualActive
Angelita Fontanilla, M.D.
NPI 1114076080 · Neonatal-Perinatal Medicine Physician · Watseka, IL
Provider details
- NPI number
- 1114076080
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01037992 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Laird Ln
Watseka, IL 60970-7568
Phone: (815) 432-5411
Fax: (815) 432-3955
Approximate (ZIP-level) locationGet directions
Mailing address
200 E Fairman Ave
Watseka, IL 60970-1644
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2013-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.