Dennis John Simon is a Clinical in La Grange, Illinois. Dennis John Simon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis John Simon is 1104917640. The last update date is 2007-07-08.
Dennis John Simon's current location address is 901 S Waiola Ave, La Grange, Illinois. You can contact this provider via phone number 7085793858. The mailing address for Dennis John Simon is 901 S Waiola Ave, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis John Simon |
|---|---|
| Address | 901 S Waiola Ave, La Grange, Illinois |
| Phone Number | 7085793858 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104917640 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 901 S Waiola Ave |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605252740 |
| Phone Number | 7085793858 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the Dennis John Simon's 1104917640?
The Dennis John Simon's NPI (National Provider Identifier) Number is 1104917640. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dennis John Simon is geographically located?
The Dennis John Simon is physically situated at the following location: 901 S Waiola Ave, La Grange, IL, 605252740.
What is Dennis John Simon's area of expertise and its corresponding taxonomy classification?
The Dennis John Simon's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104917640 to Dennis John Simon?
The Centers for Medicare & Medicaid Services originally issued the 1104917640 to Dennis John Simon on 2006-09-28.
As of what date were the Dennis John Simon's details last updated?
The information pertaining to the Dennis John Simon, including its address, specialty, and other details, was most recently updated on 2007-07-08.