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

Angela L Miciura, MD

Individual provider Surgery Physician · NPI 1720582794

Angela L Miciura, MD is a Surgical Oncology in Crystal Lake, Illinois. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Michigan State University College of Human Medicine
Licensed in
IL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621
Phone: (815) 759-6363
Fax: (815) 759-6360
Show map & directions

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

Additional practice locations (1)

  • 1465 Commerce Dr, Algonquin, IL 60102-5916 — (815) 759-6363

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.164827 (IL)

Record details

NPI number1720582794
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal Lake