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Contact Information

JEFFREY J HICKS, DPM
15 TOWER CT
STE 250
GURNEE, IL60031
 Phone: 847-336-3020
 Fax: 847-336-3318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY J HICKS · (Male)

NPI # 1629141700
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/16/2006
Last updated 09/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004968
Hospital affiliation(s)
  • VISTA MEDICAL CENTER EAST - (Acute Care)
    1324 NORTH SHERIDAN ROAD
    WAUKEGAN, IL 60085
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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