Hickman, Jill

Hickman, Jill is an individual health care provider with primary practice located at 865 N Kellogg St 3Rd Floor, Galesburg IL 61401-2810. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hickman, Jill can be contacted via phone (309) 343-3434.

Contact Information

Primary practice address
865 N Kellogg St 3Rd Floor Galesburg IL 61401-2810
Phone: (309) 343-3434
Fax: (309) 343-3456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-008671 Illinois

Profile Details

NPI number 1124076476
LBN Legal business name Hickman, Jill
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124076476 NPPES
Illinois Other 070-008671 IL LICENSE NO

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