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NPI Code Detail

MEDICARE: CHELSEY MARIE SIMMONS

MEDICARE: CHELSEY MARIE SIMMONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner041466691IL

General Provider Information

NPI Number : 1134075120
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY MARIE SIMMONS
Provider Business Mailing Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-213-5808
Fax Number :
Provider Business Practice Location Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-213-5808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ CHELSEY MARIE SIMMONS ” Practice Location

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