| Terri Hicok, NP | |
|
1506 W Garfield Ave, Bartonville, IL 61607-1755 | |
| (309) 697-2416 | |
| Not Available |
| Full Name | Terri Hicok |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1506 W Garfield Ave, Bartonville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316486061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209015590 (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Hicok, NP 1506 W Garfield Ave, Bartonville, IL 61607-1755 Ph: (309) 697-2416 | Terri Hicok, NP 1506 W Garfield Ave, Bartonville, IL 61607-1755 Ph: (309) 697-2416 |
Mrs. Patricia J Estep, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 W Garfield Ave, Bartonville, IL 61607 Phone: 309-697-8416 Fax: 309-697-2749 |