Individual
MR. MIKE J HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,CSCS
Contact information
Practice address
1415 W LAKE ST, ADDISON, IL 60101-1870
(630) 705-1950
(630) 705-1980
Mailing address
1355 CUNAT CT APT 1B, LAKE IN THE HILLS, IL 60156-6159
(708) 308-4734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
06/23/2007
Last updated
09/06/2023
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