Individual
ATHINA SIMOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
4630 N KELSO AVE, CHICAGO, IL 60630-4325
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125.083710
IL
Other
Enumeration date
02/13/2024
Last updated
07/19/2024
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