Individual
MR. CODY M SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PERSONAL T
Contact information
Practice address
711 HICKOX, LINCOLN, IL 62656-9778
(217) 671-2573
Mailing address
711 HICKOX, LINCOLN, IL 62656-9778
(217) 671-2573
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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