Simmons, Gayle M

Simmons, Gayle M is an individual health care provider with primary practice located at 412 63Rd St Ste 103 , Downers Grove IL 60516-2000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Simmons, Gayle M can be contacted via phone (630) 969-7706.

Contact Information

Primary practice address
412 63Rd St Ste 103 Downers Grove IL 60516-2000
Fax: (630) 971-6362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036071506 Illinois

Profile Details

NPI number 1154482024
LBN Legal business name Simmons, Gayle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154482024 NPPES
Illinois MEDICAID 036071506

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