Individual
PATRICIA MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4724 S. VINCENNES, 208, CHICAGO, IL 60615
(773) 610-8821
Mailing address
4724 S VINCENNES AVE, 208, CHICAGO, IL 60615-1459
(773) 610-8821
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
0971
IL
376K00000X
Nurse's Aide
Primary
09712958
IL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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