Individual
DR. BRENDA SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1700 E WEST RD, CALUMET CITY, IL 60409-5415
(708) 891-3330
(708) 891-0904
Mailing address
1700 E WEST RD, CALUMET CITY, IL 60409-5415
(708) 891-3330
(708) 891-0904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007062
—
IL
Enumeration date
08/24/2005
Last updated
02/25/2014
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