Mark T Hicks (NPI# 1356425250, PAC ID# 9234158882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1356425250 |
| PAC ID by PECOS | 9234158882 |
| Professional Enrollment ID | I20051114000524 |
| Full Name | Mark T Hicks |
| Address |
2755 N Pine Grove Chicago IL 60614-6109 |
| Phone Number | 7732625536 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1979 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2755 N Pine Grove, Chicago, IL 60614-6109 | 7732625536 |
| Street Address |
2755 N PINE GROVE |
| City | CHICAGO |
| State | IL |
| Zip | 60614-6109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Paul A Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Patrick D Labelle | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Bradley H Hirsh | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Morgan R Copp | Occupational Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| John W Tenhundfeld | Family Medicine | 1317 W Diversey Pkwy, Chicago, IL 60614-1207 | |
| Chelsea K Root | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Jeremy S Adelman | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Michael S Williams | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Debra E Young | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Find all physicians in zip 60614 | |||
| City | CHICAGO |
| Zip Code | 60614 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHICAGO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mark T Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.