KAMAAL ABDUL-RAHEEM HICKS

ALTON, IL
NPI1184354169
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.079969)
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
Dr. KAMAAL ABDUL-RAHEEM HICKS MD
1 MEMORIAL DR
ALTON, IL 62002-6755
Phone number: 618-463-7311
Mailing Address
Dr. KAMAAL ABDUL-RAHEEM HICKS MD
809 SOUTHMOOR PL
GODFREY, IL 62035-1827
Phone number: 618-818-7340
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