Ellen R Kochman-Simon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036064573 Issued in IL

Practice address

1054 Norwood LN
Bartlett, IL 60103-4556

Phone

(630) 213-3232

Fax

(630) 213-3231

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen R Kochman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sherman Group Practice Inc

  • Internal Medicine Physician
  • Bartlett, IL
  • NPI 1184887960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1720195100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601211509",
            "telephone_number": "224-238-4200",
            "fax_number": "847-783-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 NORWOOD LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034556",
            "telephone_number": "630-213-3232",
            "fax_number": "630-213-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN-SIMON",
        "first_name": "ELLEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "31602727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "KOCHMAN",
            "middle_name": "R",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nahren Khoshaba, PHARMD
• Jamie Anne Kinberg, B.S.
• Mason Joseph Klaas, DC
• Francesca Jeanne Knedlhans, OTR L
• Erin Elizabeth Kobiljak, PA-C
• Morgan Kolecke, LCPC
• Colleen Koncilja, LCSW
• Robin Kulesza, MA, LCPC
• Reshma Joshi Lagomarcino, L.C.P.C.
• Samuel Solomon Lake, M.D.

• Internal Medicine Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.