Individual
DR. JAMES M SIMMERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6812 STATE ROUTE 162, SUITE 120, MARYVILLE, IL 62062-8553
(618) 288-1122
(618) 288-1144
Mailing address
6854 PARKER RD, FLORISSANT, MO 63033-5313
(314) 286-6988
(314) 868-2561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036067473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067473
—
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/06/2006
Last updated
11/20/2024
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