Individual
MR. CHASE LOUIS HICKMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 SKYLINE DR STE 200, MARION, IL 62959-4874
(618) 440-1534
Mailing address
812 SKYLINE DR STE 200, MARION, IL 62959-4874
(618) 440-1534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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