Provider Demographics
NPI:1740553262
Name:SIMONS, LINDA K (CFM)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:SIMONS
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-2903
Mailing Address - Country:US
Mailing Address - Phone:217-223-8791
Mailing Address - Fax:217-223-8791
Practice Address - Street 1:117 N 6TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2903
Practice Address - Country:US
Practice Address - Phone:217-223-8791
Practice Address - Fax:217-223-8791
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter