Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iconic Nurse Network Outreach, Inc

Organization Registered Nurse · NPI 1669215141

Iconic Nurse Network Outreach, Inc is a Registered Nurse in Rockford, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

730 N Church St # LL-3
Rockford, IL 61103-6917
Phone: (312) 931-7376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Registered Nurse Taxonomy 163W00000X
Wound Care Registered Nurse Taxonomy 163WW0000X
Case Management Agency Taxonomy 251B00000X
Community Health/Public Health Clinical Nurse Specialist Taxonomy 364SC1501X

Record details

NPI number1669215141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakhila Tellis — Founder/President · (312) 468-8604
Other names Iconic Health Academy
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address730 N Church St # Ll-3, Rockford, IL 61103-6917

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