Kelly A Simms, N.D.
Individual provider Active NPI Naturopath · Chicago, IL
NPI 1487939781 · NPPES record last updated Sep 15, 2014
Key facts
- NPI
- 1487939781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099-0071912 (VT)
- Practice address
- 1901 N Clybourn Ave Ste 301
Chicago, IL 60614-6808 - Phone
- (773) 472-0560
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006298 | IL | MD | Registered Dietitian |
| 099-0071912 | VT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetix Incorporated | Past | Accepting new patients | |
| Eugenie B. Pabst, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099-0071912 | VT | Yes |
| Registered Dietitian | 133V00000X | 164.006298 | IL |
Addresses
Primary practice location
1901 N Clybourn Ave Ste 301
Chicago, IL 60614-6808
Mailing address
1317 W Belden Ave # 3F
Chicago, IL 60614-3110
Phone (480) 270-2145
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.