Healthcare Provider Details

I. General information

NPI: 1316863301
Provider Name (Legal Business Name): EVELYN SIMABUGURO CHINEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-4901
  • Fax: 319-384-8559
Mailing address:
  • Phone: 319-356-4901
  • Fax: 319-384-8559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberSP-0340
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberSP0340
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: