Doug Simper, D.C.
Individual provider Active NPI Other Technician · Pinehurst, TX
NPI 1457412074 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1457412074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- 038-008756 (IL)
- Practice address
- 218 Lagarto CT
Pinehurst, TX 77362-4104 - Phone
- (630) 709-5780
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008756 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Physicians Group LLC | Current |
Accepting new patients | |
| Stockholm Medical Company | Past |
Accepting new patients |
Locations
188 W Industrial Dr
Ste 110D
Elmhurst, IL 60126
Phone (630) 516-9100
188 W Industrial Dr
#110D
Elmhurst, IL 60126
Phone (630) 516-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008756 | IL | |
| Other Technician | 247200000X | 038-008756 | IL | Yes |
Addresses
Primary practice location
218 Lagarto CT
Pinehurst, TX 77362-4104
Mailing address
218 Lagarto CT
Pinehurst, TX 77362-4104
Phone (630) 709-5780
Other providers in Pinehurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.