Individual
ALAN J. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 W MEDICAL CENTER DR, MOB A102, MCHENRY, IL 60050-8419
(815) 338-6600
Mailing address
4309 W MEDICAL CENTER DR, MOB A102, MCHENRY, IL 60050-8419
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43972
KY
207R00000X
Internal Medicine Physician
45612
TN
208M00000X
Hospitalist Physician
Primary
036136647
IL
208M00000X
Hospitalist Physician
45612
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000695031
ANTHEM-CMA
KY
01
—
000057094U
HUMANA-CMA
KY
01
—
122637
SIHO-CMA
KY
05
—
1527128
—
TN
05
—
201013040
—
IN
01
—
2400911
CIGNA-CMA
KY
01
—
4321218
BLUE CROSS-BLUE SHIELD
TN
01
—
50031519
PASSPORT-CMA
KY
05
—
7100149020
—
KY
01
—
P01027597
RR MEDICARE
TN
Enumeration date
06/11/2007
Last updated
07/21/2022
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