DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. BRADLEY ALAN WICKNICK HIS

MEDICARE: MR. BRADLEY ALAN WICKNICK HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist3154IL

General Provider Information

NPI Number : 1619504834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRADLEY ALAN WICKNICK HIS
Provider Business Mailing Address
First Line : 7710 S CICERO AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-1583
Country : US
Telephone Number : 708-425-0096
Fax Number :
Provider Business Practice Location Address
First Line : 7710 S CICERO AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-1583
Country : US
Telephone Number : 708-425-0096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 03/26/2020

Similar Medicare Providers

1962721696 — DR. SUNDEEP DHAWAN D.D.S.
Practice Location Address:
7714 SOUTH CICERO AVENUE
BURBANK, IL
60459-1583
Practice Phone: 708-636-3368
Practice Fax: 708-636-7109
1104139096 — ATLAS DENTAL CORP
Practice Location Address:
7714 SOUTH CICERO AVENUE
BURBANK, IL
60459-1583
Practice Phone: 708-636-3368
Practice Fax:
1972977957 — CHICAGO HEARING LLC
Practice Location Address:
7710 S CICERO AVE
BURBANK, IL
60459-1583
Practice Phone: 708-425-0171
Practice Fax:
1063887404 — SALUD FAMILY DENTAL
Practice Location Address:
7714 S CICERO AVE
BURBANK, IL
60459-1583
Practice Phone: 708-636-3368
Practice Fax: 708-636-7109
1528544707 — MUTAZ AMINE
Practice Location Address:
7714 S CICERO AVE
BURBANK, IL
60459-1583
Practice Phone: 708-636-3368
Practice Fax:
1649864828 — MR. MARK JUNGJUN CHA NP
Practice Location Address:
7786 S CICERO AVE
BURBANK, IL
60459-1583
Practice Phone: 708-425-3085
Practice Fax: 708-425-3089

Directions to “ MR. BRADLEY ALAN WICKNICK HIS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.