Individual
DR. KAMAAL ABDUL-RAHEEM HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEMORIAL DR STE 220, ALTON, IL 62002-6723
(618) 474-1723
(618) 433-6299
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 474-1723
(618) 433-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.173538
IL
207Q00000X
Family Medicine Physician
Primary
036173538
IL
Other
Enumeration date
06/13/2022
Last updated
09/17/2025
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