Healthcare Provider Details

I. General information

NPI: 1194991315
Provider Name (Legal Business Name): KARI ANN SIMPSON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI ANN VOREL RN

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12251 S 80TH AVE
PALOS HEIGHTS IL
60463-1256
US

IV. Provider business mailing address

1900 SILVER CROSS BLVD
NEW LENOX IL
60451-9509
US

V. Phone/Fax

Practice location:
  • Phone: 630-257-1111
  • Fax: 630-257-1115
Mailing address:
  • Phone: 815-300-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.005769
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: