Simon, Edwin K

Simon, Edwin K is an individual health care provider with primary practice located at 830 W End Ct Suite 400, Vernon Hills IL 60061-1344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Simon, Edwin K can be contacted via phone (847) 249-6910.

Contact Information

Primary practice address
830 W End Ct Suite 400 Vernon Hills IL 60061-1344
Phone: (847) 249-6910
Fax: (847) 249-6950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036109810 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 36.10981 Illinois

Profile Details

NPI number 1376503292
LBN Legal business name Simon, Edwin K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 13th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376503292 NPPES
Illinois MEDICAID 036109810

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