Simmons, Jerryl Johnson

Simmons, Jerryl Johnson is an individual health care provider with primary practice located at 2012 S Austrian Pine St , Lockport IL 60441-3876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Simmons, Jerryl Johnson can be contacted via phone (708) 712-3802.

Contact Information

Primary practice address
2012 S Austrian Pine St Lockport IL 60441-3876
Phone: (708) 712-3802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036070465 Illinois

Profile Details

NPI number 1629243456
LBN Legal business name Simmons, Jerryl Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Dec 18th, 2015 - about 11 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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