SearchIllinois225200000X

Chris Hickman

NPI 1972977742 · on the registry since 2015

Practice

Address
1450 18th Ave Apt A4
Rock Island, IL 61201
Phone
(563) 726-3874

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-17

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