Individual
EDWIN K SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 W END CT, SUITE 400, VERNON HILLS, IL 60061-1344
(847) 249-6910
(847) 249-6950
Mailing address
PO BOX 610, NORTH CHICAGO, IL 60064-0610
(847) 473-4357
(847) 578-8671
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036109810
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
36.10981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109810
—
IL
Enumeration date
03/24/2006
Last updated
10/13/2009
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