MEDICARE: KIARA SIMS NP

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
1	363LF0000X	Family Nurse Practitioner	209030746	IL

General Provider Information

NPI Number	:	1174342844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIARA SIMS NP

Provider Business Mailing Address
First Line	:	4244 OAK AVE
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-2004
Country	:	US
Telephone Number	:	708-446-4432
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W BUTTERFIELD RD STE 270
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5098
Country	:	US
Telephone Number	:	630-523-9161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2024
Last Update Date	:	08/27/2025

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