Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kamaal Abdul-Raheem Hicks, MD

Individual provider Family Medicine Physician · NPI 1184354169

Dr. Kamaal Abdul-Raheem Hicks, MD is a Family Practice in Alton, Illinois. Qualified in 2020, 6 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Memorial Dr Ste 220
Alton, IL 62002-6723
Phone: (618) 474-1723
Fax: (618) 433-6299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036173538 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.173538 (IL)

Record details

NPI number1184354169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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