Lickerman, Matthew

Lickerman, Matthew is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lickerman, Matthew can be contacted via phone (815) 759-3100.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050
Phone: (815) 759-3100
Fax: (815) 363-9044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036107649 Illinois
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME107463 Florida

Profile Details

NPI number 1730292988
LBN Legal business name Lickerman, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 10th, 2018 - about 6 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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