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Individual

DR. ERIC E SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
215 E 1ST ST STE 153, DIXON, IL 61021-3175
(815) 285-5484
(815) 285-5486
Mailing address
215 E 1ST ST STE 153, DIXON, IL 61021-3175
(815) 285-5484
(815) 285-5486

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036147336
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036147336
IL
01
F400504224
MEDICARE PTAN
IL
Enumeration date
06/26/2008
Last updated
10/08/2019
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