Wicks, James M.

Wicks, James M. is an individual health care provider with primary practice located at 2151 Waukegan Rd Suite 100, Bannockburn IL 60015-1885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wicks, James M. can be contacted via phone (847) 444-5300.

Contact Information

Primary practice address
2151 Waukegan Rd Suite 100 Bannockburn IL 60015-1885
Phone: (847) 444-5300
Fax: (847) 267-0694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36047747 Illinois

Profile Details

NPI number 1275553331
LBN Legal business name Wicks, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 13th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275553331 NPPES
Illinois MEDICAID 36047747
Illinois Other 110047115
Illinois Other 04915267

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