Individual
PAIGE SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.030185
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209030185
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
05/30/2024
Last updated
10/16/2024
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