Andrea Ikeda, M.S., C.P., L.P.

NPI #1902852940 in Joliet, Illinois

Provider Information

NPI Number: 1902852940
Entity Type: Individual
Name: Andrea Ikeda, M.S., C.P., L.P.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Prosthetist
Credential: M.S., C.P., L.P.
Enumeration Date: May 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 815 N LARKIN AVE
Address 2: STE. 207
City: Joliet
State: Illinois
ZIP Code: 60435-3438
Phone: (815) 207-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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