Organization
GINA E SIMS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA E SIMS DPM (PRESIDENT)
(773) 643-8400
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 918, CHICAGO, IL 60615-4557
(773) 643-8400
(773) 643-0430
Mailing address
1525 E 53RD ST, SUITE 918, CHICAGO, IL 60615-4557
(773) 643-8400
(773) 643-0430
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001495
BCBS
IL
01
—
DC8152
RAILROAD MEDICARE GROUP
IL
Enumeration date
06/20/2006
Last updated
04/30/2015
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