Individual
MATTHEW WYATT SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1653 W CONGRESS PKWY, DEPARTMENT OF ANESTHESIA, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
4858 N HERMITAGE AVE, APT. 1A, CHICAGO, IL 60640-4125
(312) 952-1928
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041351362
IL
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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