Individual
CATHERINE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
421 E BENTON PL, CHICAGO, IL 60601-7288
(708) 261-6806
Mailing address
421 E BENTON PL, CHICAGO, IL 60601-7288
(708) 261-6806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007313
IL
Other
Enumeration date
12/22/2018
Last updated
03/04/2020
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