Individual
CHANTELL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8534 S LAFLIN ST, CHICAGO, IL 60620-4713
(773) 710-8488
Mailing address
8534 S LAFLIN ST, CHICAGO, IL 60620-4713
(773) 710-8488
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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