Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Andrade

Individual provider Physician Assistant · NPI 1346055159

Angel Andrade is a Physician Assistant in Oak Park, Illinois. Qualified in 2024, 2 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025

Practice location Address checks out

1100 Lake St Ste LL56
Oak Park, IL 60301-1034
Phone: (404) 631-6156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011108 (IL)

Record details

NPI number1346055159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address331 Griggs St Se, Grand Rapids, MI 49507-2572

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Park