MEDICARE: ASSUMPTA E IKE FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	015350	IL

General Provider Information

NPI Number	:	1508585993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASSUMPTA E IKE FNP-C

Provider Business Mailing Address
First Line	:	20000 CYPRESS AVE
Second Line	:
City	:	LYNWOOD
State	:	IL
Zip	:	60411-6836
Country	:	US
Telephone Number	:	708-717-1107
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 RIDGE RD
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-3102
Country	:	US
Telephone Number	:	708-858-6132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	08/26/2022

Similar Medicare Providers

1679707970 — DR. ODED GARGIR DDS
Practice Location Address:

3442 RIDGE RD
LANSING, IL
60438-3102

Practice Phone: 708-889-9442
Practice Fax:

1184859852 — ODED GARGIR DDS PC
Practice Location Address:

3442 RIDGE RD
LANSING, IL
60438-3102

Practice Phone: 708-889-9442
Practice Fax:

1295062404 — DOMINION HOME HEALTH CARE INC.
Practice Location Address:

3434 RIDGE RD
LANSING, IL
60438-3102

Practice Phone: 708-858-6132
Practice Fax: 708-858-6156

1558217752 — SHALLISE D SHANNON
Practice Location Address:

3044 183RD ST
LANSING, IL
60438-3010

Practice Phone: 708-632-6863
Practice Fax: 773-783-2357

1760299416 — THE CONCIERGE CARE GROUP CORPORATION
Practice Location Address:

17920 GLEN OAK AVE
LANSING, IL
60438-2128

Practice Phone: 773-458-9184
Practice Fax:

1942155817 — RUBYJO'S TRANSPORTATION LLC
Practice Location Address:

17910 ESCANABA AVE
LANSING, IL
60438-2118

Practice Phone: 312-316-9212
Practice Fax:

Directions to “ ASSUMPTA E IKE FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.