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

Mr. Emmanuel Boutcheko

Individual provider Licensed Practical Nurse · NPI 1942731922

Mr. Emmanuel Boutcheko is a Licensed Practical Nurse in Lansing, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

17709 William St
Lansing, IL 60438-2063
Phone: (708) 307-3854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.105922 (IL)

Record details

NPI number1942731922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESMarch 22, 2017
Mailing address17709 William St, Lansing, IL 60438-2063

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