SearchIllinoisEarly Intervention Provider Agency

Tina Hickey

NPI 1457649014 · on the registry since 2011 · sole proprietor

Practice

Address
647 S Prairie St
Jacksonville, IL 62650
Phone
(217) 245-5095
Fax
(217) 245-5095

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Sex
Female
Record last updated
2011-07-18

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