Individual
ERIK JOHNSON SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W TAYLOR ST STE 3C, CHICAGO, IL 60612-4795
(312) 355-1700
(312) 355-3093
Mailing address
840 S WOOD ST, 440 CSN (MC 718), CHICAGO, IL 60612-4325
(312) 996-4242
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/14/2020
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