Robert Eugene Fickes | Springfield, IL • PECOS Search

Robert Eugene Fickes

Counselor

Behavioral Health & Social Service Providers

925 S Spring St, Suite B, Springfield, IL 62704-2784

(217) 528-1988 (217) 725-5623

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Eugene Fickes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1639186885
Provider Type
Individual
Full Name
Fickes, Robert Eugene
Title
Mr.
Credential
LCPC

Gender
Male
Sole Proprietor
No
Enumeration Date
8/1/2006
Last Updated
3/23/2010

Contact Information

Practice Location

925 S Spring St, Suite B, Springfield, IL 62704-2784

(217) 528-1989

Mailing Location

1400 Mossman Ave, Springfield, IL 62702-4718

(217) 528-1989

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 180005821 Illinois