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General NPI Number Information
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NPI Number | 1477119006
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Entity Type | Individual
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Provider Name | KATHLEEN SIMONAITIS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 313 E TOWNLINE RD
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City | VERNON HILLS
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State | IL
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Zip | 60061-1555
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Country | US
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Telephone | 847-680-0483
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Fax |
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Provider Business Mailing Address
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Address Line | 313 E TOWNLINE RD
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City | VERNON HILLS
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State | IL
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Zip | 60061-1555
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Country | US
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Telephone | 847-680-0483
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11033131
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.019200
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1178493
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041354908
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A159398
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN-267620
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License Number State | MT
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025036637
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 209019200
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10049634
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License Number State | OR
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