Simon, Edwin K
Simon, Edwin K is an individual health care provider with primary practice located at 830 W End Ct Suite 400, Vernon Hills IL 60061-1344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Simon, Edwin K can be contacted via phone (847) 249-6910.Contact Information
Primary practice address
830 W End Ct Suite 400
Vernon Hills IL 60061-1344
Phone: (847) 249-6910
Fax: (847) 249-6950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036109810 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 36.10981 | Illinois |
Profile Details
| NPI number | 1376503292 |
|---|---|
| LBN Legal business name | Simon, Edwin K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Oct 13th, 2009 - about 17 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 | 1376503292 | NPPES |
| Illinois | MEDICAID | 036109810 |
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