Organization
MICHAEL J. & BEVERLY HICKS
Active
Other names
AUDIOLOGY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. HICKS AUD., CCC-A (OWNER/AUDIOLOGIST)
(618) 524-2176
Entity
Organization
Contact information
Practice address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 564-3206
Mailing address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 564-3206
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000631
IL
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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