Ilko Family Medicine PA

NPI #1124281571 in Woodbury, Minnesota

Provider Information

NPI Number: 1124281571
Entity Type: Organization
Organization Name: Ilko Family Medicine PA
Primary Specialty: Family Medicine
Enumeration Date: Jul 7, 2008
Last Updated: Feb 2, 2009

Practice Location

Address: 1687 WOODLANE DR
Address 2: SUITE 102
City: Woodbury
State: Minnesota
ZIP Code: 55125-3045
Phone: (651) 209-6685

Authorized Official

Name: LISA RYAN
Title: MANAGER
Phone: (815) 834-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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