Provider Demographics
NPI:1972767861
Name:SIMMONS, MARCHELLE D (D C)
Entity type:Individual
Prefix:DR
First Name:MARCHELLE
Middle Name:D
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:STE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-701-1007
Practice Address - Street 1:1938 E LINCOLN HWY
Practice Address - Street 2:STE 104
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-3810
Practice Address - Country:US
Practice Address - Phone:815-215-1130
Practice Address - Fax:815-215-1135
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2015-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL038010996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor