JEFFREY J HICKS DPM PC (NPI# 1588644892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588644892 |
| Entity Type | Organization |
| Organization Name | JEFFREY J HICKS DPM PC |
| Practice Address |
15 Tower Ct Ste 250 Gurnee IL 60031 |
| Practice Telephone | 8473363020 |
| Practice Fax Number | 8473363318 |
| Mailing Telephone | 8473363020 |
| Mailing Fax Number | 8473363318 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | JEFFREY J HICKS (PRESIDENT) |
| Authorized Official Telephone | 8473363020 |
| Authorized Official Credential | DPM PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004968 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04926843 | 01 |
| IL | NATIONAL GOVERNMENT SERVICES | 4481570001 | 01 |
| IL | 016004968 | 05 | |
| IL | RAILROAD MEDICARE | DD4677 | 01 |
| Street Address |
15 TOWER CT STE 250 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567747 | Barry Goldman | Pediatrics | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2005-09-06 |
| 1245761295 | Lake County Primary Care S.c. | Family Medicine | 15 Tower Ct, Suite 255, Gurnee, IL 60031-3336 | 2017-03-22 |
| 1881044519 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 15 Tower Ct, Suite 245, Gurnee, IL 60031-3336 | 2016-06-14 |
| 1962824573 | Gerald Frank Md Internal Medicine Sc | Internal Medicine | 15 Tower Ct, Suite 255, Gurnee, IL 60031-3336 | 2014-01-16 |
| 1801144951 | Medcare Pharmacy Inc | Pharmacy | 15 Tower Ct, Suite 195, Gurnee, IL 60031-3336 | 2012-08-21 |
| 1780820647 | Healthvision Medical Services Sc | Clinic/Center | 15 Tower Ct, Suite 210, Gurnee, IL 60031-3336 | 2008-12-24 |
| 1891944666 | Marson Tenoso | Pediatrics | 15 Tower Ct, Suite 150, Gurnee, IL 60031-3336 | 2008-09-16 |
| 1346406162 | Linda Wheeless Buier | Nurse Practitioner | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2008-07-31 |
| 1073779088 | Ron-gran Pineda Apilado | Physician Assistant | 15 Tower Ct, Suite 100, Gurnee, IL 60031-3336 | 2008-07-30 |
| 1447452610 | Lavanya Srinivasan | Internal Medicine | 15 Tower Ct, Suite 140, Gurnee, IL 60031-3336 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141700 | Jeffrey J Hicks | Podiatrist | 15 Tower Ct, Ste 250, Gurnee, IL 60031 | 2006-11-16 |
| 1134235203 | John R Schwab | Podiatrist | 15 Tower Ct, Ste 250, Gurnee, IL 60031 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.