MR. EMMANUEL BOUTCHEKO
NPI 1942731922
Licensed Practical Nurse in Lansing, IL

Q: What is Emmanuel Boutcheko's NPI number?

The NPI number for Emmanuel Boutcheko is 1942731922. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Emmanuel Boutcheko's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since March 22, 2017

17709 WILLIAM ST, LANSING, IL 60438(708) 307-3854 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Emmanuel Boutcheko NPPES

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

MR. EMMANUEL BOUTCHEKO (NPI 1942731922) is an individual licensed practical nurse in Lansing, Illinois, licensed in Illinois (043.105922) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1942731922

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. EMMANUEL BOUTCHEKO

Location Address17709 WILLIAM STLansing, IL 60438-2063

Mailing Address17709 William StLansing, IL 60438-2063 · (708) 307-3854

Phone(708) 307-3854

Sole ProprietorYes

Enumeration DateMarch 22, 2017

✔ NPI 1942731922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.105922

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

17709 WILLIAM ST, Lansing, IL 60438

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Other Identifiers 1

Other043.105922IL · License Practical Nurse

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Boutcheko's NPI number?

The NPI number for Emmanuel Boutcheko is 1942731922. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Emmanuel Boutcheko located?

Emmanuel Boutcheko practices at 17709 William St, Lansing, IL 60438. The listed phone number is (708) 307-3854.

What is Emmanuel Boutcheko's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Boutcheko was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.