Individual
GINA E SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001495
BCBS
IL
01
—
P00191736
RAILROAD MEDICARE
IL
Enumeration date
06/29/2006
Last updated
10/10/2007
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