Individual
DR. TODD WAYNE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6455 S KEDZIE AVE, CHICAGO, IL 60629-2829
(773) 863-9234
(773) 863-9274
Mailing address
6455 S KEDZIE AVE, CHICAGO, IL 60629-2829
(773) 863-9234
(773) 863-9274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046-009243
—
IL
Enumeration date
08/02/2006
Last updated
07/08/2007
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