Simmons, Alan J.
Simmons, Alan J. is an individual health care provider with primary practice located at 4309 W Medical Center Dr Mob A102, Mchenry IL 60050-8419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Simmons, Alan J. can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
4309 W Medical Center Dr Mob A102
Mchenry IL 60050-8419
Phone: (815) 338-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43972 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 45612 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 45612 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036136647 | Illinois |
Profile Details
| NPI number | 1083818561 |
|---|---|
| LBN Legal business name | Simmons, Alan J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083818561 | NPPES |
| Kentucky | Other | 000000695031 | ANTHEM-CMA |
| Kentucky | Other | 000057094U | ANTHEM-CMA |
| Kentucky | Other | 4321218 | ANTHEM-CMA |
| Kentucky | MEDICAID | 1527128 | ANTHEM-CMA |
| Kentucky | MEDICAID | 7100149020 | ANTHEM-CMA |
| Kentucky | Other | 50031519 | ANTHEM-CMA |
| Kentucky | Other | 122637 | ANTHEM-CMA |
| Kentucky | Other | 2400911 | ANTHEM-CMA |
| Kentucky | MEDICAID | 201013040 | ANTHEM-CMA |
| Kentucky | Other | P01027597 | ANTHEM-CMA |
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