Individual
VANESSA V SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7435 MADISON ST, FOREST PARK, IL 60130-1542
(708) 613-5255
Mailing address
1505 W 80TH ST, CHICAGO, IL 60620-4304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227023484
IL
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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