Individual
HEATHER M WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007
(847) 690-1776
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
148083
IL
Other
Enumeration date
04/10/2014
Last updated
07/07/2015
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