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Andrea Ikeda, MS,CP,LP
Prosthetist in Joliet, Illinois
NPI 1902852940

Andrea Ikeda is a Prosthetist based in Joliet, IL. Andrea Ikeda practices in Joliet, IL and has the professional credentials of MS,CP,LP. The NPI Number for Andrea Ikeda is 1902852940 and holds a License No. (Illinois).

The current practice location address for Andrea Ikeda is 815 N Larkin Ave, Joliet, IL and can be reached out via phone at 815-207-4200 and via fax at 815-207-4100.

Location: 815 N Larkin Ave, Joliet, IL, 60435-3438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902852940
Provider Name
Andrea Ikeda
Credential
MS,CP,LP
Provider Entity Type
Individual
Gender
Female
Address
815 N Larkin Ave, Joliet, IL, 60435-3438
Phone Number
815-207-4200
Fax Number
815-207-4100
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09932112 01 IL BCBS
113671669001 05 IL
institution
Provider Business Practice Location Address Details
Address
815 N Larkin Ave
City
Joliet
State
Illinois
Zip
60435-3438
Phone Number
815-207-4200
Fax Number
815-207-4100
person
Provider Business Mailing Address Details
Address
815 N Larkin Ave
City
Joliet
State
Illinois
Zip
60435-3438
Phone Number
815-207-4200
Fax Number
815-207-4100
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
(Illinois)
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 appropriate treatment plan, implement the treatment plan and provide follow-up care.
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