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

Tara Lykowski, PA-C

Individual provider Physician Assistant · NPI 1023092319

Tara Lykowski, PA-C is a Physician Assistant in Park Ridge, Illinois. Qualified in 2004, 22 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

250 S Northwest Hwy Ste 100
Park Ridge, IL 60068-4237
Phone: (773) 631-7898
Fax: (773) 631-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002397 (IL)

Record details

NPI number1023092319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Park Ridge