| Doctor Name: | MS. ELIZABETH J. SIMON-ROPER |
| NPI Number: | 1326118472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2412-123 |
| Business Practice Address: | 4180 State Highway 83 Suite 204 Long Grove, IL - 60047 |
| Business Phone Number: | 2246888167 |
| Business Fax Number: | 8473565470 |
| Mailing Address: | 38735 N Munn Rd, LAKE VILLA |
| State: | IL |
| Postal Code: | 600467764 |
| Phone Number: | 8473565470 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2412-123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |