MARK SIMON (NPI# 1811078793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811078793 |
| Entity Type | Individual |
| Full Name | MARK SIMON |
| Credential | M.D. |
| Practice Address |
6300 N Ridge Ave Chicago IL 60660-1017 |
| Mailing Address |
217 Kedzie St Evanston IL 60202-2405 |
| Practice Telephone | 7739736300 |
| Mailing Telephone | 8474921847 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245324300 | Mark J Simon | Radiology | 6716 Nw 11 Place, Gainesville, FL 32605 | 2006-10-03 |
| 1033150271 | Mark N Simon | Obstetrics & Gynecology | 2807 Roslyn St, Denver, CO 80238-2624 | 2006-06-09 |
| 1538110572 | Mark Simon | Ophthalmology | 225 Hospital Dr Ste 160, Winchester, KY 40391-7635 | 2006-05-15 |
| 1053307694 | Mark Terrance Simon | Family Medicine | 2300 Wales Ave Nw, Massillon, OH 44646-2323 | 2005-09-20 |
| 1649776584 | Mark Simon | Student in an Organized Health Care Education/Training Program | 777 Bannock Street, Mc 0108, Denver, CO 80204 | 2018-03-31 |
| 1619426764 | Mark Simon | Psychologist | 4210 Independence Dr, Schnecksville, PA 18078-2580 | 2016-09-30 |
| 1578883856 | Mark Simon | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2010-06-09 |
| 1730212630 | Mark Simon | Dentist | 23560 Madison St, Ste 208, Torrance, CA 90505-4708 | 2007-03-13 |
| 1568530731 | Mark Christopher Simon | Anesthesiology | 1500 Citywest Blvd Ste 300, Houston, TX 77042 | 2006-12-04 |
| 1083654081 | Mark A Simon | Internal Medicine | 5401 S Congress Ave, #102, Atlantis, FL 33462-6635 | 2006-06-07 |
| Street Address |
6300 N RIDGE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864844 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2006-05-04 |
| 1093350134 | Misericordia Home | Clinic/Center | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2019-11-13 |
| 1386094480 | Misericordia Home | Day Training, Developmentally Disabled Services | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-06-20 |
| 1861849721 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1134576093 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1871940734 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1043667900 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1447610027 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-02-25 |
| 1396049391 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2011-01-05 |
| 1972806784 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.