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

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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