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

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

815 N Larkin Ave
Ste. 207
Joliet, IL 60435-3438

Phone

(815) 207-4200

Fax

(815) 207-4100

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902852940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE",
            "address_2": "STE. 207",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353438",
            "telephone_number": "815-207-4200",
            "fax_number": "815-207-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE",
            "address_2": "STE. 207",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353438",
            "telephone_number": "815-207-4200",
            "fax_number": "815-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEDA",
        "first_name": "ANDREA",
        "credential": "M.S., C.P., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09932112",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113671669001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Joliet, IL
• Providers in Joliet, IL by specialty
• Prosthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.