DR. JEREMY R SIMON


Address: 7435 W Talcott Ave, Chicago, IL 60631-3707
Phone: 7737925138

DR. JEREMY R SIMON (NPI# 1306865639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306865639
Entity Type Individual
Full Name DR. JEREMY R SIMON
Credential M.D.
Practice Address 7435 W Talcott Ave
Chicago
IL 60631-3707
Mailing Address Po Box 68
Northbrook
IL 60065-0068
Practice Telephone 7737925138
Practice Fax Number 7737925124
Mailing Telephone 8474129213
Mailing Fax Number 8474129381
Enumeration Date 2006-07-18
Last Update Date 2013-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
036096781 IL Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
036096781 IL Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
036096781 IL Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
036096781 IL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
036096781 IL Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
036096781 IL Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
0360969781 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD-IL 0001619902 01
IL 036096781-1 05

Other Providers JEREMY SIMON

NPI Name Taxonomy Address Enumeration
1306867767 Jeremy Stephen Simon Dentist 191 Hwy 64 East, Alma, AR 72921 2006-07-21
1629630017 Jeremy Simon Technician 1005 Terminal Way Ste 125, Reno, NV 89502-2198 2019-07-05
1477975084 Jeremy Simon Contractor 5191 S Yosemite St, Suite B, Greenwood Village, CO 80111-3305 2014-01-16
1942552898 Jeremy Randal Simon Occupational Therapist 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 2012-10-02
1205012028 Jeremy Lee Simon Military Health Care Provider 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 2008-01-10
1073538971 Jeremy Ian Simon Physical Medicine & Rehabilitation 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 2006-07-12

Office Location

Street Address 7435 W TALCOTT AVE
City CHICAGO
State IL
Zip Code 60631-3707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324515 Matthew Alexander Brown Family Medicine 7435 W Talcott Ave, Chicago, IL 60631-3707 2005-05-31
1417575630 Christine Rheintgen Counselor 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-07-14
1518584028 Jose Belandres IIi Nurse Anesthetist, Certified Registered 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-06-30
1417579426 Brett M Hanson Student in an Organized Health Care Education/Training Program 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-05-12
1871114272 William John Noel II Emergency Medicine 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-27
1932729738 Leo Viray Emergency Medicine 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-21
1538789318 Jacob Byron Cihla Emergency Medicine 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-21
1790304855 Elizabeth Celeste England Student in an Organized Health Care Education/Training Program 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-09
1609405869 Alexander Reinhardt Rosc Registered Nurse 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-08
1881223154 Fatma Betul Ciftci Emergency Medicine 7435 W Talcott Ave, Chicago, IL 60631-3707 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427686609 Martha Agnes Bissing Student in an Organized Health Care Education/Training Program Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 2020-04-01
1497383434 Kathryn Lee Hughes Student in an Organized Health Care Education/Training Program 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 2020-03-27
1245723121 Thomas Walsh Student in an Organized Health Care Education/Training Program Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 2018-06-14
1912411893 Briggs Therapy Group, LLC Social Worker 6645 N Oliphant Ave Ste F, Chicago, IL 60631 2017-11-29
1013467257 Elsa Methipara Nurse Practitioner 6429 N Ogallah, Chicago, IL 60631 2016-10-12
1477001766 Djje Holdings LLC Psychologist 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 2016-09-14
1538512884 Sprout Pediatric Dentistry Dentist 6036 North Northwest Highway, Chicago, IL 60631 2016-07-21
1417305137 Christopher Louis Scodeller Emergency Medicine 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 2016-06-03
1518315464 Corbin Barwegen Emergency Medicine 7435 W. Talcott Ave., Chicago, IL 60631 2016-06-01
1013304724 Elliott T. Deweese Dentist 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 2015-04-20
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588261978 Thorek Radiology Group Nfp Radiology 850 West Irving Park Road, Chicago, IL 60613 2020-10-08
1659930998 Howard Simon Md PC Radiology 446 E Ontario St Ste 106, Chicago, IL 60611-7110 2019-06-11
1528440690 Tarek Jazmati Radiology 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 2015-06-24
1316351232 Smg Billing, LLC Radiology 1105 S. Western Ave., Chicago, IL 60612 2014-06-18
1013270982 Sean David Pietrini Radiology 1500 W Monroe St, Apartment 118, Chicago, IL 60607 2012-06-16
1063649093 Sreekumar Madassery Radiology 1725 W. Congress Parkway, Ste 450, Chicago, IL 60612 2009-06-17
1639228661 Ulku C. Turba Radiology 1725 W Harrison St Ste 450, Chicago, IL 60612-3841 2007-01-09
1669586988 Prabhu Mani Velan Radiology 2238 W Homer Street, Chicago, IL 60647 2006-08-17
1013926153 Albert Nemcek Radiology 251 E Huron St Ste 4-710t, Chicago, IL 60611-2908 2006-08-07
1417934399 Kenneth Pierce Radiology 521 W Grant Pl, Chicago, IL 60614-3705 2005-12-30
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Competitor

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City CHICAGO
Zip Code 60631

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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