Individual
LAUREN IVY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
7410 S YATES BLVD # A, CHICAGO, IL 60649-3316
(773) 664-2811
Mailing address
14858 SHEPARD DR, DOLTON, IL 60419-2467
(773) 664-2811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041406961
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
041406961
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029664
IL
Other
Enumeration date
06/08/2014
Last updated
05/22/2024
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