Individual
JANISE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19630 GOVERNORS HWY STE 8, FLOSSMOOR, IL 60422-2079
(708) 481-4257
Mailing address
PO BOX 1501, MATTESON, IL 60443-4501
(708) 537-0457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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