Andrea Ikeda is a Prosthetist in Joliet, Illinois. Andrea Ikeda practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for Andrea Ikeda is 1902852940. The last update date is 2007-07-08.
Andrea Ikeda's current location address is 815 N Larkin Ave, Joliet, Illinois. You can contact this provider via phone number 8152074200 and fax number 8152074100. The mailing address for Andrea Ikeda is 815 N Larkin Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Ikeda |
|---|---|
| Address | 815 N Larkin Ave, Joliet, Illinois |
| Phone Number | 8152074200 |
| Fax Number | 8152074100 |
| Sole Proprietor | X |
| Credentials | M.S., C.P. |
NPI Number Detail
| NPI Number | 1902852940 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 815 N Larkin Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604353438 |
| Phone Number | 8152074200 |
| Fax Number | 8152074100 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9932112 | IL | BCBS | |
| 113671669001 | IL | -- |
Post Comment/ Review Below
What is the Andrea Ikeda's 1902852940?
The Andrea Ikeda's NPI (National Provider Identifier) Number is 1902852940. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andrea Ikeda is physically located?
The Andrea Ikeda is situated at the following address: 815 N Larkin Ave, Joliet, IL 604353438.
What is Andrea Ikeda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrea Ikeda is Prosthetist, and the taxonomy classification code that categorizes this area of expertise is 224P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902852940 to Andrea Ikeda?
The Centers for Medicare & Medicaid Services originally issued the 1902852940 to Andrea Ikeda on 2006-05-25.
When was the information regarding Andrea Ikeda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea Ikeda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.