RONALD ANTHONY HICKOMBOTTOM (NPI# 1023020989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023020989 |
Entity Type | Individual |
Full Name | RONALD ANTHONY HICKOMBOTTOM |
Credential | M.D |
Practice Address |
728 W Jackson Blvd Apt 306 Chicago IL 60661-5405 |
Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
Practice Telephone | 3126226461 |
Practice Fax Number | 7733486781 |
Mailing Telephone | 8157252121 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2015-10-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
036065509 | IL | Allopathic & Osteopathic Physicians |
Street Address |
728 W JACKSON BLVD APT 306 |
City | CHICAGO |
State | IL |
Zip Code | 60661-5405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
Find all providers in zip 60661 |
Taxonomy Code | 207RS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sports Medicine |
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922157635 | Stephen Adams | Internal Medicine | 259 E Erie St # 100, Chicago, IL 60611-2930 | 2007-01-10 |
1285612259 | Kathleen M. Weber | Internal Medicine | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-09 |
1275195059 | Sure Work Health Clinic Ltd | Internal Medicine | 830 N Ashland Ave, Chicago, IL 60622-5684 | 2019-07-02 |
1386102903 | Sure Work Health Clinic | Internal Medicine | 6222 S Pulaski Rd, Chicago, IL 60629-4610 | 2019-03-04 |
1861755035 | Jeremy Alland | Internal Medicine | 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 | 2012-06-21 |
1487810842 | Michael Marcus Hanna | Internal Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2008-08-04 |
1437350592 | Balu Natarajan Md Sc | Internal Medicine | 711 W North Ave, Suite 208, Chicago, IL 60610-7010 | 2007-05-29 |
1356400600 | Illinois Bone and Joint Instit | Internal Medicine | 680 N Lake Shore Dr, Suite 1028, Chicago, IL 60611-4546 | 2006-12-06 |
1033104955 | Cynthia Labella | Internal Medicine | 225 E Chicago Ave # 69, Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2005-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659874261 | Relive Physician Services LLC | Internal Medicine | 333 Waukegan Rd Ste G, Glenview, IL 60025-5122 | 2018-03-10 |
1003171596 | Midamerica Orthopaedics, S.c. | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2012-07-10 |
1528255049 | Naveed H Elahi Dc Sc | Internal Medicine | 1037 E Woodfield Rd, Schaumburg, IL 60173-4706 | 2007-09-28 |
1245359041 | Michael Phillip Fragen | Internal Medicine | 1615 S Norbury Ave, Lombard, IL 60148-6182 | 2007-03-29 |
1235557877 | Angelo M. Savino | Internal Medicine | 720 Florsheim Dr, Libertyville, IL 60048 | 2014-04-01 |
1912324567 | Chicago Hand and Orthopedic Surgery Centers Sc | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2014-03-20 |
1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
1912211202 | Oa Associates, LLC | Internal Medicine | 4700 Memorial Drive, Ste. 350, Belleville, IL 62226 | 2010-07-29 |
1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
1730290198 | James T John | Internal Medicine | 545 Plainfield Rd, Ste., B, Willowbrook, IL 60527-7600 | 2006-08-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on RONALD ANTHONY HICKOMBOTTOM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.