Jeffrey J Hicks Dpm Pc

LBN: Jeffrey J Hicks Dpm Pc
Jeffrey J Hicks Dpm Pc is an health care organization with primary practice located at 15 Tower Ct Ste 250, Gurnee IL 60031. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Jeffrey J Hicks Dpm Pc can be contacted via phone (847) 336-3020, or through Hicks, Jeffrey J via phone (847) 336-3020.

Contact Information

Primary practice address
15 Tower Ct Ste 250 Gurnee IL 60031
Phone: (847) 336-3020
Fax: (847) 336-3318
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Jeffrey J DPM PC
Phone: (847) 336-3020

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004968 Illinois

Profile Details

NPI number 1588644892
LBN Legal business name Jeffrey J Hicks Dpm Pc
DBA Doing business as
Authorized official Hicks, Jeffrey J DPM PC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588644892 NPPES
Illinois Other 04926843 BCBS
Illinois Other DD4677 BCBS
Illinois Other 4481570001 BCBS
Illinois MEDICAID 016004968 BCBS

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