Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 036143731 | IL |
N | 208200000X | Surgeon | 229013 | MA |
N | 208600000X | Surgeon | 229013 | MA |
NPI | 1770606634 |
---|---|
Provider Name | Dr. Dinee Collings Simpson |
First Address | Chicago, IL 60611-2927 |
Second Address | Chicago, IL 60611-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 17/03/2018 |