Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chad Zachary Simon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316705502

Chad Zachary Simon is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1853 W Polk St
Chicago, IL 60612-4355
Phone: (312) 996-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316705502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 11, 2024
Mailing address1853 W Polk St, Chicago, IL 60612-4355

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