Search › Illinois › 207P00000X
Stuart Hickerson
NPI 1073629374 · on the registry since 2006
Practice
- Address
- 12528 Sr 78
Havana, IL 62644 - Phone
- (309) 543-4253
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207PE0004X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois