MATTHEW LICKERMAN MD – NPI #1730292988
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MATTHEW LICKERMAN is a physician located in MCHENRY, IL. NPPES has assigned the NPI number 1730292988 to MATTHEW LICKERMAN on August 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 8 years ago on Aug 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW LICKERMAN below.

NPI Profile for
MATTHEW LICKERMAN

NPI Number
1730292988
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW LICKERMAN
Credentials
MD
Primary location
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Phone: (815) 759-3100 Fax: (815) 363-9044
2 Other location(s):
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone: (561) 737-7733
9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone: (561) 336-7000
Mailing address
2790 SANDALWOOD RD
BUFFALO GROVE, IL 60089-6645
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
IL 036107649
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine
FL ME107463

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
CHICAGO COLLEGE OF MEDICINE AND SURGERY - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MATTHEW LICKERMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • HCA FLORIDA NORTHWEST HOSPITAL
      2801 N STATE RD 7
      MARGATE, FL 33063

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.