Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-139746 | IL |
N | 111NI0900X | Internist | 036-139746 | IL |
Y | 207RI0200X | Infectious Disease | 036139746 | IL |
NPI | 1093152480 |
---|---|
Provider Name | Andrew Simms |
First Address | Chicago, IL 60612-3806 |
Second Address | Chicago, IL 60612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2013 |
Last Update Date | 30/04/2021 |