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Active NPI 1902852940 Individual Practitioner Female Practitioner

Andrea Ikeda , MS, CP, LP

Prosthetist • Joliet, IL

Professional Overview & Biography Verified Profile Summary

Andrea Ikeda, MS, CP, LP is a registered healthcare professional specializing in Prosthetist in Joliet, IL. Practice services are available at 815 N LARKIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 N Larkin Ave
Ste. 207

Joliet, IL 604353438

Telephone 8152074200
Fax 8152074100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Joliet, IL (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113671669001 (IL)
Commercial Insurance / Payer ID Bcbs
09932112 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Timothy Price , CPO

Specialist - Prosthetics Case Management

NPI 1487851283

Certified Prosthetist Orthotist

NPI 1700831245

Certified Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 815 N LARKIN AVE, STE. 207, JOLIET, IL 604353438 (Tel: 8152074200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 815 N LARKIN AVE, STE. 207, JOLIET, IL 604353438 (Tel: 8152074200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREA IKEDA, M.S., C.P., L.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Prosthetist

🟢
Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902852940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

815 N Larkin Ave, Ste. 207

Joliet, IL 604353438

Phone: 8152074200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.