ROBERT HICKERSON
NPI 1104916485
Family Medicine in Galesburg, IL

Q: What is Robert Hickerson's NPI number?

The NPI number for Robert Hickerson is 1104916485. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Q: What is Robert Hickerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Hickerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2006

3375 N SEMINARY ST, GALESBURG, IL 61401(309) 343-5114(309) 343-7859 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Robert Hickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT HICKERSON (NPI 1104916485) is an individual family medicine provider in Galesburg, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104916485

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT HICKERSON

Location Address3375 N SEMINARY STGalesburg, IL 61401-1251

Mailing Address3375 N Seminary StGalesburg, IL 61401-1251 · (309) 343-5114 · Fax (309) 343-7859

Phone(309) 343-5114

Fax(309) 343-7859

Sole ProprietorNo

Enumeration DateOctober 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104916485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3375 N SEMINARY ST, Galesburg, IL 61401

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified833600IL · Group #

Medicare ID-Type UnspecifiedL29325IL · Individual #

Medicare ID-Type UnspecifiedCB6569IL · Rr Group #

Medicare UPINC38507

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE L KAGE-WILLIS LDN

Nutritionist