Provider Demographics
NPI:1629176060
Name:SIMAYTIS, CHRISTINE JUDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JUDITH
Last Name:SIMAYTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4940 E STATE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2271
Mailing Address - Country:US
Mailing Address - Phone:815-227-0081
Mailing Address - Fax:815-387-5316
Practice Address - Street 1:4940 E STATE ST STE 3
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2271
Practice Address - Country:US
Practice Address - Phone:815-227-0081
Practice Address - Fax:815-387-5316
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43536-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine