Individual
MRS. ELLEN R KOCHMAN-SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1054 NORWOOD LN, BARTLETT, IL 60103-4556
(630) 213-3232
(630) 213-3231
Mailing address
PO BOX 1509, ELGIN, IL 60121-1509
(224) 238-4200
(847) 783-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064573
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602727
BCBS OF IL
IL
Enumeration date
08/23/2006
Last updated
06/10/2011
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