Stuart Hickerson
Stuart Hickerson is an Emergency Medicine Physician in Havana, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
12528 Sr 78Havana, IL 62644-6866
Phone: (309) 543-4253
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 036083126 (IL) |
|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | Taxonomy 207PE0004X · Licence 036083126 (IL) |
Record details
| NPI number | 1073629374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2006 |
| Last updated in NPPES | December 13, 2024 |
| Certification date | December 13, 2024 |
| Mailing address | 3333 N Seminary St, Galesburg, IL 61401-1251 |