Healthcare Provider Details

I. General information

NPI: 1659930998
Provider Name (Legal Business Name): HOWARD SIMON MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 E ONTARIO ST STE 106
CHICAGO IL
60611-7110
US

IV. Provider business mailing address

16220 N SCOTTSDALE RD STE 600
SCOTTSDALE AZ
85254-1804
US

V. Phone/Fax

Practice location:
  • Phone: 312-440-0016
  • Fax:
Mailing address:
  • Phone: 480-306-6949
  • Fax: 602-302-5706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD J SIMON
Title or Position: CEO
Credential: MD
Phone: 480-306-6949