Jeremy R Simon is a Body Imaging in Northbrook, Illinois. Jeremy R Simon practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Jeremy R Simon is 1306865639. The last update date is 2013-01-29.
Jeremy R Simon's current location address is Po Box 68, Northbrook, Illinois. You can contact this provider via phone number 8474129213 and fax number 8474129381. The mailing address for Jeremy R Simon is Po Box 68, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy R Simon |
|---|---|
| Address | Po Box 68, Northbrook, Illinois |
| Phone Number | 8474129213 |
| Fax Number | 8474129381 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306865639 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2013-01-29 |
Provider Mailing Address Detail
| Address | Po Box 68 |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600650068 |
| Phone Number | 8474129213 |
| Fax Number | 8474129381 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 36096781 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036096781-1 | IL | -- | |
| 1619902 | IL | BLUE CROSS BLUE SHIELD-IL |
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What is the unique identification code assigned to Jeremy R Simon by the Centers for Medicare & Medicaid Services?
The Jeremy R Simon has been issued the NPI (National Provider Identifier) 1306865639. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeremy R Simon's physical address?
The Jeremy R Simon is physically located at Po Box 68, in the city of Northbrook, IL, with the postal code 600650068.
What is Jeremy R Simon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeremy R Simon's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
When did the Jeremy R Simon receive its 1306865639?
The Jeremy R Simon was issued its 1306865639 on 2006-07-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeremy R Simon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy R Simon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-29.