National Provider Identifier Database

ANDREA IKEDA, M.S., C.P., L.P. – NPI #1902852940
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

ANDREA IKEDA, M.S., C.P., L.P.
815 N LARKIN AVE
STE. 207
JOLIET, IL60435-3438
Phone: 815-207-4200
Fax: 815-207-4100
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for ANDREA IKEDA

NPI Number 1902852940
Credentials M.S., C.P., L.P.
Entity Individual
Enumeration date 05/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 113671669001
  • IL Other: 09932112 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ANDREA IKEDA, M.S., C.P., L.P.

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