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Stuart Hickerson
Emergency Medical Services (Emergency Medicine) Physician in Havana, Illinois
NPI 1073629374

Stuart Hickerson is a Emergency Medical Services (Emergency Medicine) Physician based in Galesburg, IL and is specialized in Emergency Medical Services. Stuart Hickerson practices in Havana, IL. The NPI Number for Stuart Hickerson is 1073629374 and holds a License No. 036083126 (Illinois).

The current practice location address for Stuart Hickerson is 12528 Sr 78, Havana, IL and can be reached out via phone at 309-543-4253.

Location: 12528 Sr 78, Havana, IL, 61401-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073629374
Provider Name
Stuart Hickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12528 Sr 78, Havana, IL, 61401-1251
Phone Number
309-543-4253
Fax Number
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036083126 05 IL
institution
Provider Business Practice Location Address Details
Address
12528 Sr 78
City
Havana
State
Illinois
Zip
62644-6866
Phone Number
309-543-4253
Fax Number
person
Provider Business Mailing Address Details
Address
12528 Sr 78
City
Havana
State
Illinois
Zip
62644-6866
Phone Number
309-543-4253
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
036083126 (Illinois)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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