Individual
DR. DAVID M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S PAULINA ST, SUITE 143, CHICAGO, IL 60612-3806
(312) 942-2061
(312) 942-2184
Mailing address
PO BOX 239D, PARK RIDGE, IL 60068-8018
(847) 759-1560
(847) 803-1006
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036074714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440003646
RR MEDICARE
IL
Enumeration date
03/31/2006
Last updated
07/23/2009
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