Individual
MR. KEVIN E. SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-7488
(773) 869-3578
Mailing address
5527 S NATOMA AVE, CHICAGO, IL 60638-2413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000586
IL
363AM0700X
Medical Physician Assistant
085-000586
IL
Other
Enumeration date
04/02/2007
Last updated
04/30/2021
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