MRS. SUSAN R. ILLIKMAN N.P.
NPI 1245237387
Nurse Practitioner - Acute Care in Ypsilanti, MI

Active since July 05, 2005
5325 ELLIOTT DR, YPSILANTI, MI 48197(734) 712-8000(734) 712-8010 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Susan R. Illikman N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN R. ILLIKMAN N.P. (NPI 1245237387) is an individual acute care provider in Ypsilanti, Michigan, licensed in Michigan (4704199428) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1245237387
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. SUSAN R. ILLIKMANCredential: N.P.
Location Address5325 ELLIOTT DRYpsilanti, MI 48197-8633
Mailing Address5325 Elliott DrYpsilanti, MI 48197-8633 · (734) 712-8000 · Fax (734) 712-8010
Fax(734) 712-8010
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJanuary 29, 2009
NPI 1245237387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704199428
5325 ELLIOTT DR, Ypsilanti, MI 48197

Other Identifiers 6

Medicare PIN0P01550MI
Other0E01050MI · Bcbs Group Pin
Medicare PINOH16128162MI
Medicare PINP01550001MI
Other5008604980MI · Bcbs Individual Pin
Other7451595MI · Aetna

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
5325 ELLIOTT DR, SUITE 102
YPSILANTI, MI 48197
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5325 ELLIOTT DR, SUITE 102
YPSILANTI, MI 48197
Clinical Nurse Specialist (Acute Care)
5325 ELLIOTT DR
YPSILANTI, MI 48197
Specialist
5325 ELLIOTT DR, SUITE 203
YPSILANTI, MI 48197
Specialist
5325 ELLIOTT DR, SUITE 203
YPSILANTI, MI 48197
Physician Assistant (Surgical)
5325 ELLIOTT DR, SUITE #102
YPSILANTI, MI 48197
Physician Assistant (Surgical)
5325 ELLIOTT DR, SUITE 102
YPSILANTI, MI 48197
Physician Assistant (Surgical)
5325 ELLIOTT DR, SUITE #102
YPSILANTI, MI 48197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245237387, enumerated as an "individual" on July 05, 2005.

The provider is located at 5325 ELLIOTT DR YPSILANTI, MI 48197 and the phone number is (734) 712-8000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.