Penni Hicks-Blue, R.D., L.D.N

NPI 1093908881 · on the registry since 2007 · sole proprietor

Practice

Address: 11 E Pleasant Ave
Sandwich, IL 60548
Phone: (815) 786-3719
Organisation at this address: Valley West Community Hospital
Doctors Egly And Associates Pc
Hospital Care Consultants Of Sandwich Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois