Individual
FRANCES SIMMONS-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3441 W CHICAGO AVE, CHICAGO, IL 60651-4033
(773) 507-9000
Mailing address
3443 W CHICAGO AVE, CHICAGO, IL 60651-4033
(773) 507-9000
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472216786
—
IL
Enumeration date
09/27/2018
Last updated
09/27/2018
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