Mr Emmanuel Boutcheko, - Licensed Practical Nurse in Lansing, IL

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Mr Emmanuel Boutcheko, is a Licensed Practical Nurse based in Lansing, Illinois. Mr Emmanuel Boutcheko is licensed to practice in Illinois (license number 043.105922) and his current practice location is 17709 William St, Lansing, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 307-3854.

NPI number for Mr Emmanuel Boutcheko is 1942731922 and his current mailing address is 17709 William St, Lansing, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942731922.

Contact Information

Mr Emmanuel Boutcheko,
17709 William St,
Lansing, IL 60438-2063
(708) 307-3854
Not Available

Map and Direction




Provider's Profile

Full NameMr Emmanuel Boutcheko
GenderMale
SpecialityLicensed Practical Nurse
Location17709 William St, Lansing, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942731922
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 03/22/2017

Medical Identifiers

Medical identifiers for Mr Emmanuel Boutcheko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942731922NPI-NPPES
043.105922OtherILLICENSE PRACTICAL NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 043.105922 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Emmanuel Boutcheko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Emmanuel Boutcheko,
17709 William St,
Lansing, IL 60438-2063

Ph: (708) 307-3854		Mr Emmanuel Boutcheko,
17709 William St,
Lansing, IL 60438-2063

Ph: (708) 307-3854

Reviews and Comments


Licensed Practical Nurse Nurses in Lansing, IL

Dominique Morris, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 18707 Burnham Ave, Lansing, IL 60438
Phone: 708-323-5664    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.