Individual
VALERIA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-6091
(630) 933-2335
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-6091
(630) 933-2335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125056451
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036140547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0361470547
MEDICAID
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400299210
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
06/19/2009
Last updated
08/24/2016
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