Individual
PETER R HULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4623 75TH ST # 338, KENOSHA, WI 53142-3707
(617) 312-9747
Mailing address
2001 TOWER DR UNIT 322, GLENVIEW, IL 60026-7810
(617) 312-9747
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101028358
VA
2085R0001X
Radiation Oncology Physician
015496
PA
2085R0001X
Radiation Oncology Physician
Primary
52899-020
WI
Other
Enumeration date
07/07/2005
Last updated
05/14/2022
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