David Wickness, D.M.D

NPI 1235202953 · on the registry since 2006 · sole proprietor

Practice

Address: 1701 S Prospect Ave
Suite 203
Champaign, IL 61820
Phone: (217) 359-5050
Organisation at this address: Jamie Stevens Counseling Group Pllc
Jim Hamilton Counseling And Therapy Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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