Individual
DAPHNE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8158 S HOMAN AVE, CHICAGO, IL 60652-2516
(773) 750-1525
Mailing address
8158 S HOMAN AVE, CHICAGO, IL 60652-2516
(773) 750-1525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041350003
IL
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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