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

Evan Sismour

Individual provider Physician Assistant · NPI 1386196590

Evan Sismour is a Physician Assistant in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
10
Licensed in
IL, PA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

251 E Huron St Ste 16-738
Chicago, IL 60611-2908
Phone: (847) 234-5600
Fax: (847) 535-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006711 (IL)
Physician Assistant Taxonomy 363A00000X · Licence MA058746 (PA)

Record details

NPI number1386196590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2016
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address251 E Huron St Ste 16-738, Chicago, IL 60611-2908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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