Individual provider · Type 1 NPI

Emma Concepcion Ico Jose

Nurse Practitioner · Orland Park, IL

NPI number 1073374807 Active

Practice location

15300 West Ave Ste 313
Orland Park, IL 60462-4687

Fax (708) 923-7888

Mailing address

9410 Albany Ct
Orland Park, IL 60467-5634

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209028504 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209028504 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073374807

Emma Concepcion Ico Jose's National Provider Identifier is 1073374807, issued on Jan 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orland Park, IL. The record was last updated on Feb 18, 2026.