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

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