Search › Illinois › 224Z00000X
Brandi Hickam
NPI 1790527661 · on the registry since 2024
Practice
- Address
- 1329 Il-3 Suite 4
Waterloo, IL 62298 - Phone
- (618) 939-7761
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-11
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