OrganizationActive
Ilko Family Medicine PA
NPI 1124281571 · Family Medicine Physician · Woodbury, MN
Provider details
- NPI number
- 1124281571
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Ryan, Manager(815) 834-7200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1687 Woodlane Dr
Suite 102
Woodbury, MN 55125-3045
Phone: (651) 209-6685
Fax: (651) 209-1680
Street-level locationGet directions
Mailing address
Po Box 25530
Woodbury, MN 55125-0530
Registry dates
- Enumerated
- 2008-07-07
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.