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Contact Information

MATTHEW LICKERMAN, MD
4201 W MEDICAL CENTER DR
MCHENRY, IL60050
 Phone: 815-759-3100
 Fax: 815-363-9044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW LICKERMAN · (Male)

NPI Number 1730292988
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 08/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME107463
  • IL License # 036107649
Hospital affiliation(s)
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    2801 N STATE RD 7
    MARGATE, FL 33063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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