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Sara Jeannine Gale Hicks, LPN

Licensed Practical Nurse in Du Quoin, IL. Individual provider (NPI-1).

NPI number1609025253
StatusActive
Last updated in NPPESSep 18, 2008

Details

NPI
1609025253
Entity type
Individual (NPI-1)
Name
Sara Jeannine Gale Hicks
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2008
Last updated
Sep 18, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse043101095ILYes

Other names

  • Sara Jeannine Gale (Former Name)

Practice location

119 Gas Plant Rd
Du Quoin, IL 62832-3866

Phone 618-542-8702

Mailing address

Po Box 155
Christopher, IL 62822-0155

Phone 618-724-2436

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Du Quoin, IL

All 20 Licensed Practical Nurse providers in Du Quoin · All 201 providers in Du Quoin

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