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

Emma Concepcion Ico Jose

Individual provider Nurse Practitioner · NPI 1073374807

Emma Concepcion Ico Jose is a Nurse Practitioner in Orland Park, Illinois. Qualified in 2023, 3 years ago. Practices with Sudhir M Gokhale MD SC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

15300 W Ave Ste 313
Orland Park, IL 60462-4687
Phone: (708) 923-7878
Fax: (708) 923-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209028504 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209028504 (IL)

Record details

NPI number1073374807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2024
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address9410 Albany Ct, Orland Park, IL 60467-5634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sudhir M Gokhale Md Sc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Orland Park