Individual
CHERYL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 FERRELL RD, ROSICLARE, IL 62982
(618) 285-6634
Mailing address
6 FERRELL RD, ROSICLARE, IL 62982-1052
(618) 285-6634
(618) 285-2804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014016
IL
Other
Enumeration date
04/20/2016
Last updated
11/02/2018
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