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Mrs. Susan R. Illikman, NP
Acute Care Nurse Practitioner in Ypsilanti, Michigan
NPI 1245237387

Susan R. Illikman is an Acute Care Nurse Practitioner based in Ypsilanti, MI and is specialized in Acute Care. Susan R. Illikman practices in Ypsilanti, MI and has the professional credentials of NP. The NPI Number for Susan R. Illikman is 1245237387 and holds a License No. 4704199428 (Michigan).

The current practice location address for Susan R. Illikman is 5325 Elliott Dr, Ypsilanti, MI and can be reached out via phone at 734-712-8000 and via fax at 734-712-8010.

Location: 5325 Elliott Dr, Ypsilanti, MI, 48197-8633
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Provider Profile Details
NPI Number
1245237387
Provider Name
Susan R. Illikman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5325 Elliott Dr, Ypsilanti, MI, 48197-8633
Phone Number
734-712-8000
Fax Number
734-712-8010
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0E01050 01 MI BCBS GROUP PIN
7451595 01 MI AETNA
5008604980 01 MI BCBS INDIVIDUAL PIN
institution
Provider Business Practice Location Address Details
Address
5325 Elliott Dr
City
State
Zip
48197-8633
Phone Number
734-712-8000
Fax Number
734-712-8010
person
Provider Business Mailing Address Details
Address
5325 Elliott Dr
City
State
Zip
48197-8633
Phone Number
734-712-8000
Fax Number
734-712-8010
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704199428 (Michigan)
Definition
Definition to come...
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