Individual
DR. ROBERT LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
333 CHICAGO AVENUE, SAVANNA, IL 61074
(815) 273-2422
(815) 273-2422
Mailing address
333 CHICAGO AVENUE, SAVANNA, IL 61074
(815) 273-2422
(815) 273-5034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000884001
BC/BS
IL
Enumeration date
05/17/2006
Last updated
02/01/2008
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