Individual
DEJA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 E MONROE ST STE 38109, CHICAGO, IL 60603-5713
(312) 881-7547
Mailing address
55 E MONROE ST STE 38109, CHICAGO, IL 60603-5713
(312) 881-7547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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