NPIMap

Individual provider Active NPI

Elizabeth M Simon, MD

  • Internal Medicine Physician
  • Waukegan, IL
National Provider Identifier
1942217153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1401 Dugdale Circle
Ann Kiley Center
Waukegan, IL 60085
Phone
(847) 249-0600
Fax
(847) 249-0967
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1401 Dugdale Circle
Ann Kiley Center
Waukegan, IL 60085

Mailing address

1401 Dugdale Circle
Ann Kiley Center
Waukegan, IL 60085
Phone (847) 249-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000568 IL Practitioner - Internal Medicine 3779532569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Wound Care IncGroup PAC ID 2365970092, 10 clinicians

Practice addresses (Care Compare)

1340 Remington Rd
Suite P
Schaumburg, IL 60173-4821
Phone (847) 873-8693

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Medical Physicians Inc CurrentSince Jan 16, 2025 Accepting new patients
Lifeline Physicians LLC Internal Medicine CurrentSince Sep 30, 2023 Accepting new patients
Beyond Wound Care Inc CurrentSince Mar 21, 2025 Accepting new patients
Fkleung, MD, LLC PastSince May 1, 2019 Accepting new patients

Locations

1340 Remington Rd
Ste P
Schaumburg, IL 60173
Phone (847) 873-8693

1340 Remington Rd
Ste M
Schaumburg, IL 60173
Phone (847) 252-1858

1320 Tower Rd
Ste 138
Schaumburg, IL 60173
Phone (847) 252-1858

Organizations & group practices 4

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 8

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942217153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DUGDALE CIRCLE",
            "address_2": "ANN KILEY CENTER",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-249-0600",
            "fax_number": "847-249-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DUGDALE CIRCLE",
            "address_2": "ANN KILEY CENTER",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-249-0600",
            "fax_number": "847-249-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.