Healthcare Provider Details

I. General information

NPI: 1396418919
Provider Name (Legal Business Name): SARAH SIMMS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W JACKSON BLVD STE 1700
CHICAGO IL
60604-3597
US

IV. Provider business mailing address

111 W JACKSON BLVD STE 1700
CHICAGO IL
60604-3597
US

V. Phone/Fax

Practice location:
  • Phone: 630-592-2467
  • Fax: 630-780-6221
Mailing address:
  • Phone: 630-592-2467
  • Fax: 630-780-6221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023126846
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: