Individual
SUSAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13125 S LA GRANGE RD, ORLAND PARK, IL 60462-1162
(630) 427-4192
Mailing address
1420 KENSINGTON RD, STE 106, OAK BROOK, IL 60523-2143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000108
IL
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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