NPI 1902852940

Andrea Ikeda, MSCPLP

Practitioner Prosthetist Joliet, IL

Practice location

Address: 815 N Larkin Ave STE. 207, Joliet, IL 60435-3438
Phone: (815) 207-4200
Fax: (815) 207-4100

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1902852940
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.