NPI 1003134271
Juamona Carol Simmons
Practice location
- Address
- 162 Holiday Ln, Hainesville, IL 60073-3187
- Phone
- (815) 793-9132
- Fax
- (847) 984-5727
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1003134271
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 May 2010
- Record last updated
- 21 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.