Individual
MRS. LINDSEY ALEXIS HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1076
(312) 337-7616
Mailing address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1076
(312) 337-7616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309003354
CONTROLLED SUBSTANCE
IL
Enumeration date
08/05/2008
Last updated
08/01/2013
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