Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STUART HICKERSON
ActiveSTUART HICKERSON is a Emergency Medicine healthcare provider located in HAVANA, Illinois. NPI 1073629374 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · HAVANA, IL
Registration Details
- NPI Number
- 1073629374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (20.025862653098 yrs)
- Last Updated
- Dec 13, 2024
- Licenses
-
036083126 (IL)036083126 (IL)
Practice Information
- Address
-
12528 SR 78HAVANA, IL, 626446866Browse IL providers · Browse ZIP 62644
- Phone
- 3095434253
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medical Services
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.