Simenauer, Lori Elizabeth

Simenauer, Lori Elizabeth is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 201, Peoria IL 61603-3105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Simenauer, Lori Elizabeth can be contacted via phone (888) 627-5673.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Suite 201 Peoria IL 61603-3105
Phone: (888) 627-5673
Fax: (309) 683-5669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36107544 Illinois

Profile Details

NPI number 1780670794
LBN Legal business name Simenauer, Lori Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780670794 NPPES
Illinois Other 809840 MEDICARE GROUP

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