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NPI 1144859331

NPI 1144859331 : STEVEN ALEXANDER ILKO MD : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1144859331
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN ALEXANDER ILKO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/08/2020
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    9060 E VIA LINDA STE 250 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-5425
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    Country              |    US
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    Telephone            |    480-614-2000
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    Fax                  |    480-614-1751
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Provider Business Mailing Address
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    Address Line         |    800 BRADBURY DR SE STE 116 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87106-4310
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    A200253
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    MD2025-0502
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    License Number State |    NM
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Taxonomy #3
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    MD-51383
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    License Number State |    IA
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Taxonomy #4
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    MD2025-0502
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    License Number State |    NM
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Taxonomy #5
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    431144859331
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    License Number State |    MI
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Taxonomy #6
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    A200253
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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    License Number       |    76781
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    License Number State |    AZ
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