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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD-IL | 0001619902 | 01 |
| IL | 036096781-1 | 05 |
| 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 |
| Street Address |
7435 W TALCOTT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3707 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| 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. |
| 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 |
| Find all providers in CHICAGO | ||||
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| 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.