Jill Hickey

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.009624 Issued in IL

Practice address

421 Doris Ave
Joliet, IL 60433-2569

Phone

(815) 727-8710

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jill Clock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1306600879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 REVERE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481071",
            "telephone_number": "708-712-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 DORIS AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332569",
            "telephone_number": "815-727-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CLOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melvin Herring, LCSW
• Tamir Y Hersonskey, M.D.
• John K Hertko, DC
• Paula Lynn Hertz, CNM
• Kimberly Hess
• Melodi Hickey, LCSW, CAM
• Brittney Nicole Higgins, OTR
• Highland Park CVS LLC (CVS Pharmacy #16326)
• Highland Park CVS LLC (CVS Pharmacy 01170)
• Highland Park CVS, L.L.C. (CVS Pharmacy 02936)

• Speech-Language Pathologist in Joliet, IL
• Providers in Joliet, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.