Provider Demographics
NPI:1902018765
Name:HICKEY, MARGARET MARY (RN)
Entity Type:Individual
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First Name:MARGARET
Middle Name:MARY
Last Name:HICKEY
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Gender:F
Credentials:RN
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Mailing Address - Street 1:1 WESTBROOK CORPORATE CTR
Mailing Address - Street 2:#240
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5701
Mailing Address - Country:US
Mailing Address - Phone:708-236-2673
Mailing Address - Fax:708-236-2773
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:#1063
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-243-4244
Practice Address - Fax:312-243-2744
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL163WX0800X, 363L00000X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist