Avrom Simon, MD, MPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

036-079286 Issued in IL

Practice address

128 S Aberdeen St Unit 5S
Chicago, IL 60607-1507

Phone

(312) 371-8364

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1720517568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S ABERDEEN ST UNIT 5S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S ABERDEEN ST UNIT 5S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071507",
            "telephone_number": "312-371-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "AVROM",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036-079286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Simoens, CRNA
• Simon and Simon, P.C.
• Debbie Lisa Simon Palaparthi, OD
• Linda Simon-Price
• Amanda Simon, OTD, OTR/L
• Bonita Ann Simon
• Carolyn Celine Simon, LPC
• Chad Zachary Simon
• David M Simon, M.D.
• Deja Simon

• Occupational Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.