Provider Demographics
NPI:1437761525
Name:HITCHENS, RICK D
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:D
Last Name:HITCHENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 FRAMINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3496
Mailing Address - Country:US
Mailing Address - Phone:714-600-6249
Mailing Address - Fax:
Practice Address - Street 1:676 FRAMINGHAM CT
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3496
Practice Address - Country:US
Practice Address - Phone:714-600-6249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic