Individual
DAVID BLATZHEIM HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E LINCOLN HWY, NEW LENOX, IL 60451-1992
(779) 707-3717
Mailing address
24321 S WILLIAM DR, MANHATTAN, IL 60442-8464
(815) 931-5985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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