Hickombottom, Ronald Anthony

Hickombottom, Ronald Anthony is an sole proprietor health care provider with primary practice located at 728 W Jackson Blvd Apt 306 , Chicago IL 60661-5405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hickombottom, Ronald Anthony can be contacted via phone (312) 622-6461.

Contact Information

Primary practice address
728 W Jackson Blvd Apt 306 Chicago IL 60661-5405
Phone: (312) 622-6461
Fax: (773) 348-6781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 036065509 Illinois

Profile Details

NPI number 1023020989
LBN Legal business name Hickombottom, Ronald Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Oct 7th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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