Individual
JESSICA ANNE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(815) 590-7924
Mailing address
2190 COLTONVILLE RD APT 15, SYCAMORE, IL 60178-2657
(815) 590-7924
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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