MEDICARE: MRS. CHRISTINA MARIE SIMON P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070010121	IL

General Provider Information

NPI Number	:	1912035734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA MARIE SIMON P.T.

Provider Business Mailing Address
First Line	:	POB 7132960
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-0001
Country	:	US
Telephone Number	:	630-469-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 ESSINGTON RD STE B
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-2871
Country	:	US
Telephone Number	:	630-967-2000
Fax Number	:	815-314-5170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	06/15/2026

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