Most Relevant Information
Provider Data
| NPI Number: | 1003351230 |
| Provider Name: | MARGUERITE SIMMONS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160.001468 |
Most Important Dates
| Enumeration Date: | 12/26/2016 |
| Last Updated: | 12/26/2016 |
Provider Practice Location
121 DES PLAINES AVE
FOREST PARK
IL
601303316
Practice Location Phone/Fax
| Phone: | 7083551031 |
| Fax: |
Provider Mailing Location
121 DES PLAINES AVE
FOREST PARK
IL
601303316
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |