Cassandra Adams Lickert
Allergist & Immunologist
9550 W 167th St
Orland Park
, Illinois 60467-5561
Cassandra Adams Lickert
Allergist & Immunologist
9550 W 167th St
Orland Park
, Illinois 60467-5561
(708) 503-3993
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Cassandra Adams Lickert
- 20110 Governors Hwy
- Olympia Fields, IL
- Zip : 60461-1030
- Fax : (708) 503-3993
- Phone : (708) 747-7960
Second Address
- Cassandra Adams Lickert
- 9550 W 167th St
- Orland Park, IL
- Zip : 60467-5561
- Fax : (708) 873-4505
- Phone : (708) 873-4500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | IL |
National Provider Identifier
| NPI | 1104939420 |
|---|---|
| Provider Name | Cassandra Adams Lickert |
| First Address | Olympia Fields, IL 60461-1030 |
| Second Address | Orland Park, IL 60467-5561 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H43876 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.