Individual
DR. CONNIE LEE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD RN
Contact information
Practice address
241 GOLF MILL CENTER, #602, NILES, IL 60714
(847) 390-0776
(847) 390-7625
Mailing address
241 GOLF MILL CENTER, #602, NILES, IL 60714
(847) 390-0776
(847) 390-7625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071006844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364467571
—
IL
Enumeration date
11/01/2006
Last updated
05/08/2020
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