Active NPI
Alexandra Katherine Simeur, SLP
- Speech-Language Pathologist
- Des Plaines, IL
National Provider Identifier
1811461080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242005073
- Practice address
- 1221 E Golf Rd
Des Plaines, IL 60016-1213 - Phone
- (847) 768-1300
- NPI assigned
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242005073 | IL | Primary |
Addresses
Primary practice location
1221 E Golf Rd
Des Plaines, IL 60016-1213
Mailing address
709 W Barry Ave Apt 3S
Chicago, IL 60657-6304
Phone (630) 621-5254
Other practice location 1
5101 Willow Springs Rd
LA Grange, IL 60525-2600
Phone (708) 245-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242005073 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1811461080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W BARRY AVE APT 3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576304",
"telephone_number": "630-621-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E GOLF RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161213",
"telephone_number": "847-768-1300"
}
],
"practiceLocations": [
{
"address_1": "5101 Willow Springs Rd",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605252600",
"country_code": "US",
"telephone_number": "708-245-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMEUR",
"first_name": "ALEXANDRA",
"middle_name": "KATHERINE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242005073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.