RONALD ANTHONY HICKOMBOTTOM


Address: 728 W Jackson Blvd Apt 306, Chicago, IL 60661-5405
Phone: 3126226461

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
036065509 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 728 W JACKSON BLVD APT 306
City CHICAGO
State IL
Zip Code 60661-5405

Providers in the same zip code

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 Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City CHICAGO
Zip Code 60661

Improve Information

Please comment or provide details below to improve the information on RONALD ANTHONY HICKOMBOTTOM.

Dataset Information

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.

Trending Searches