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Search › Illinois › 183500000X

Daniel Kickertz

NPI 1770126187 · on the registry since 2019 · sole proprietor

Practice

Address
816 Featherstone Rd
Rockford, IL 61107
Phone
(815) 227-0081
Organisation at this address
Madison Vamc
Madison Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-18

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