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NPI Code Detail

MEDICARE: DR. ERIC WILLIAM SIMONS MD

MEDICARE: DR. ERIC WILLIAM SIMONS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036100494IL
2207V00000XObstetrics & Gynecology Physician19686OK
3207V00000XObstetrics & Gynecology Physician063457GA
4207V00000XObstetrics & Gynecology PhysicianMD-48514IA
5207VX0000XObstetrics Physician53651MN

General Provider Information

NPI Number : 1598762577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC WILLIAM SIMONS MD
Provider Business Mailing Address
First Line : 912 N HENRIETTA ST
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-1788
Country : US
Telephone Number : 312-775-1100
Fax Number : 312-775-1101
Provider Business Practice Location Address
First Line : 912 N HENRIETTA ST
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-1788
Country : US
Telephone Number : 217-342-3337
Fax Number : 217-342-3337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 09/05/2025

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