Individual
DR. LISA KANTZ SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # MS 161B, CHICAGO, IL 60611-2991
(312) 227-6800
(312) 227-9446
Mailing address
225 E CHICAGO AVE # MS 161, APT 205, CHICAGO, IL 60611-2991
(312) 227-6800
(312) 227-9446
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036.133606
IL
Other
Enumeration date
06/21/2007
Last updated
04/02/2015
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