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

Mrs. Glory Obianuju Ikerodah, FNP

Individual provider Nurse Practitioner · NPI 1932675006

Mrs. Glory Obianuju Ikerodah, FNP is a Nurse Practitioner in Kankakee, Illinois. Qualified in 2018, 8 years ago. Practices with Sas Surgical Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1777 E Court St
Kankakee, IL 60901-2670
Phone: (773) 676-4076
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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 277.002987 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209018155 (IL)

Record details

NPI number1932675006
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 16, 2018
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sas Surgical Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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