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Individual

JEFFREY J HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
15 TOWER CT, STE 250, GURNEE, IL 60031
(847) 336-3020
(847) 336-3318
Mailing address
15 TOWER CT, STE 250, GURNEE, IL 60031
(847) 336-3020
(847) 336-3318

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004968
IL

Other

Enumeration date
11/16/2006
Last updated
09/25/2012
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