Kochman-Simon, Ellen R
Kochman-Simon, Ellen R is an individual health care provider with primary practice located at 1054 Norwood Ln , Bartlett IL 60103-4556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kochman-Simon, Ellen R can be contacted via phone (630) 213-3232.Contact Information
Primary practice address
1054 Norwood Ln
Bartlett IL 60103-4556
Phone: (630) 213-3232
Fax: (630) 213-3231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036064573 | Illinois |
Profile Details
| NPI number | 1720195100 |
|---|---|
| LBN Legal business name | Kochman-Simon, Ellen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jun 10th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720195100 | NPPES |
| Illinois | Other | 31602727 | BCBS OF IL |
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