Active NPI
Frances Simmons-Ellis
- Prosthetics Case Management
- Chicago, IL
National Provider Identifier
1326523192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 3441 W Chicago Ave
Chicago, IL 60651-4033 - Phone
- (773) 507-9000
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | IL | Primary |
Addresses
Primary practice location
3441 W Chicago Ave
Chicago, IL 60651-4033
Mailing address
3443 W Chicago Ave
Chicago, IL 60651-4033
Phone (773) 507-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472216786 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1326523192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606514033",
"telephone_number": "773-507-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606514033",
"telephone_number": "773-507-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS-ELLIS",
"first_name": "FRANCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "472216786",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.