Individual provider Active NPI

Theresa Simandl, APRN, CNP

  • Nurse Practitioner
  • Huntley, IL
National Provider Identifier
1033717319
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209020375 Issued in IL
Practice address
10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone
(847) 802-7500
Fax
(847) 802-7162
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020375 IL
Nurse Practitioner 363L00000X 209020375 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste a
Huntley, IL 60142-9545

Mailing address

10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone (847) 802-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124002433 IL Practitioner - Nurse Practitioner 3577974419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Suite a
Huntley, IL 60142-9545
Phone (847) 802-7500

3707 Doty Rd
Suite Gandh
Woodstock, IL 60098-7530
Phone (815) 206-2800

Hospital & facility affiliations

  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Oct 7, 2020 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 7, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 19, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 19, 2024 Accepting new patients

Locations (25 of 30)

2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900

820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930

231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

171 N Aberdeen St
Ste 100
Chicago, IL 60607
Phone (312) 694-2273

1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273

4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417

635 N Fairbanks Ct
Chicago, IL 60611
Phone (312) 472-3173

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

350 S Waukegan Rd
Ste 150
Deerfield, IL 60015
Phone (312) 926-3107

1704 Maple Ave
Ste 100
Evanston, IL 60201
Phone (312) 694-2273

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273

6155 Grand Ave
Ste 100
Gurnee, IL 60031
Phone (224) 271-6700

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396

15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550

2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500

870 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 475-2273

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1033717319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "847-802-7500",
            "fax_number": "847-802-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "847-802-7500",
            "fax_number": "847-802-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANDL",
        "first_name": "THERESA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020375",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.