Individual
AMANDA MICHELLE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3852 N CICERO AVE, CHICAGO, IL 60641-3622
(773) 355-5407
(773) 272-9144
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019286
IL
Other
Enumeration date
06/13/2012
Last updated
10/12/2016
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