NPI 1104939420

Cassandra Adams Lickert, MD

Practitioner Allergy & Immunology Physician Orland Park, IL

Practice location

Address: 9550 W 167th St, Orland Park, IL 60467-5561
Phone: (708) 873-4500
Fax: (708) 873-4505
Mailing address: 20110 Governors Hwy, Olympia Fields, IL 60461-1030

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

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Registry record

NPI: 1104939420
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.