Active NPI
Cassandra Adams Lickert, M.D.
- Allergy & Immunology Physician
- Orland Park, IL
National Provider Identifier
1104939420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Practice address
- 9550 W 167TH St
Orland Park, IL 60467-5561 - Phone
- (708) 873-4500
- Fax
- (708) 873-4505
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | IL | Primary |
Addresses
Primary practice location
9550 W 167TH St
Orland Park, IL 60467-5561
Mailing address
20110 Governors Hwy
Olympia Fields, IL 60461-1030
Phone (708) 747-7960
Other names 1
- Cassandra Marcia Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104929 | IL | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104939420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20110 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611030",
"telephone_number": "708-747-7960",
"fax_number": "708-503-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 W 167TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675561",
"telephone_number": "708-873-4500",
"fax_number": "708-873-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICKERT",
"first_name": "CASSANDRA",
"middle_name": "ADAMS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "ADAMS",
"middle_name": "MARCIA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orland Park, IL
- Enza Levy, SLP
- Suzanne Virginia Lewandowski, OTR/L
- Lexington Health Care Center of Orland Park
- Lexington Health Care Center of Orland Park Inc
- Melissa Ann Liberto, PHARMD
- Rebecca Liebermann, LPC
- Life Naturally LLC
- Lifecore Rehab and Counseling Services SC
- Lifeline Behavioral Healthcare LTD.
- Meghan Liimatainen, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.