Individual
RASHAWN ALISIA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(185) 668-6430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006781
IL
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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