DR. CHRISTOPHER HICKS (NPI# 1093120545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093120545 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER HICKS |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc3079 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737021000 |
| Mailing Telephone | 7737021061 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
036149231 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301268 | Christopher Hicks | Case Manager/Care Coordinator | 3515 Senator Ct, Columbus, OH 43204-5202 | 2018-06-28 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1477661635 | Christopher Joe Hicks | Nurse Anesthetist, Certified Registered | 993-d Johnson Ferry Rd., Suite 300, Atlanta, GA 30342 | 2006-08-28 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1114925328 | Christopher Kip Hicks | Specialist | 813a Franklin St Se, Huntsville, AL 35801-4311 | 2005-07-12 |
| 1316438856 | Christopher Michael Hicks | Speech-Language Pathologist | 502 E General Stewart Way Ste C, Hinesville, GA 31313-2643 | 2018-05-21 |
| 1154718633 | Christopher Hicks | Counselor | 55 W 125th St, New York, NY 10027-4516 | 2015-04-22 |
| 1710394994 | Christopher Hicks | Registered Nurse | 115 Mill St, Belmont, MA 02478-1064 | 2014-07-19 |
| 1427478510 | Christopher Raymond Hicks | Obstetrics & Gynecology | 2439 Bee Ridge Rd, Sarasota, FL 34239-6304 | 2014-04-16 |
| 1255687232 | Christopher R Hicks | Hearing Instrument Specialist | 798 Downtowner Blvd, Suite A, Mobile, AL 36609-5424 | 2012-07-27 |
| Street Address |
5841 S MARYLAND AVE # MC3079 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710071782 | Miguel S Daccarett | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2006-10-03 |
| 1306467352 | Cody Shane Lee | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2020-04-30 |
| 1972123891 | Hussein Abdulrassoul | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2020-04-21 |
| 1942820956 | Christopher Thomas Johnson | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2020-04-20 |
| 1447711031 | Emma Patricia Dwyer | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2019-03-27 |
| 1881155356 | Lohith Sai Venkata Vatti | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457845695 | William Stephen Polachek | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2018-06-20 |
| 1699269183 | Jeremy Adler | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2018-06-18 |
| 1417441916 | Andrew John Straszewski | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2018-06-18 |
| 1649763947 | James Steven Dahm | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2018-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057338 | Charles Lawrence Carlton | Physical Medicine & Rehabilitation | 6007 N Sheridan Rd Apt 20a, Chicago, IL 60660-3005 | 2006-10-17 |
| 1780622746 | Terry L Nicola | Physical Medicine & Rehabilitation | 839 W Roosevelt Rd, Suite #102, Chicago, IL 60608-1530 | 2006-06-03 |
| 1740761246 | Meredith A Atkenson | Physical Medicine & Rehabilitation | 1002 W Diversey Pkwy, Chicago, IL 60614-1317 | 2018-08-23 |
| 1992169965 | Joshua Martin | Physical Medicine & Rehabilitation | 251 E Huron St, Suites 1-204, Chicago, IL 60611-2908 | 2016-04-06 |
| 1194103036 | Alexandria Joann Haselhorst | Physical Medicine & Rehabilitation | 355 E Erie St, Chicago, IL 60611-3167 | 2015-05-12 |
| 1639147929 | Robert R Stacey | Physical Medicine & Rehabilitation | 6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1275 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900409 | Michael Reavy | Physical Medicine & Rehabilitation | 90 Skokie Blvd, Wilmette, IL 60091-3054 | 2020-10-25 |
| 1750947586 | Kaitlyn Maloney | Physical Medicine & Rehabilitation | 125 Jan Ln Apt 2, De Soto, IL 62924-0045 | 2019-05-16 |
| 1134688294 | Ashraf Ali Elkossei | Physical Medicine & Rehabilitation | 9215 S Tripp Ave, Oak Lawn, IL 60453-1938 | 2019-03-18 |
| 1457854119 | Arielle Willett | Physical Medicine & Rehabilitation | 505 Washington Blvd, Oak Park, IL 60302-4005 | 2018-03-08 |
| 1205228475 | Elizabeth Palagi | Physical Medicine & Rehabilitation | 16825 Shannon Ct, Tinley Park, IL 60477-6551 | 2015-02-25 |
| 1780003178 | Paula Weihler Sc | Physical Medicine & Rehabilitation | 129 Commercial Dr, Unit 5b, Yorkville, IL 60560-4729 | 2014-04-14 |
| 1598920977 | Prescriptive Wellness LLC | Physical Medicine & Rehabilitation | 3330 W 177th St Ste 3f, Hazel Crest, IL 60429-2197 | 2008-07-24 |
| 1639356488 | Ukpenahiusi S Ighodaro | Physical Medicine & Rehabilitation | 231 W Main St Ste 101, Carpentersville, IL 60110-1772 | 2008-01-23 |
| 1932142973 | Philip H Dennis | Physical Medicine & Rehabilitation | 441 S State Route 157 Ste 102, Edwardsville, IL 62025-4017 | 2006-06-14 |
| 1770552457 | Thomas Morgan Sullivan | Physical Medicine & Rehabilitation | Buffalo Grove High School, 1100 W. Dundee Rd., Buffalo Grove, IL 60089 | 2006-03-16 |
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| 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.