Maricela Simon, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

2504 Washington St Ste 205-E
Waukegan, IL 60085-4960

Phone

(773) 208-7187

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1790339091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HARVEST DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021891",
            "telephone_number": "773-208-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST STE 205-E",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854960",
            "telephone_number": "773-208-7187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Greenleaf St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315708",
            "country_code": "US",
            "telephone_number": "847-623-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARICELA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mverduzco81@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2504 Washington St Ste 205-E",
            "city": "Waukegan",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600854960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kiera Rose Shorey, MSW
• Kristine Ann Sigafus
• Janaina Maria Silva, NCE, CRC
• Bridgid Silvela-Bacaling, NP
• Elizabeth M Simon, MD
• Simple Essence Counseling & Wellness
• Sylvia Sims Bolton
• Marlette Sheree Sims-Madigan
• Dawn Sinclair
• Hargurmukh Singh, MD

• Acupuncturist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.