JERRYL JOHNSON SIMMONS M.D.
NPI 1629243456
Pediatrics in Lockport, IL

Q: What is Jerryl Simmons's NPI number?

The NPI number for Jerryl Simmons is 1629243456. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Q: What is Jerryl Simmons's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jerryl Simmons was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2008

2012 S AUSTRIAN PINE ST, LOCKPORT, IL 60441(708) 712-3802 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerryl Johnson Simmons M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRYL JOHNSON SIMMONS M.D. (NPI 1629243456) is an individual pediatrics provider in Lockport, Illinois, licensed in Illinois (036070465) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1629243456

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJERRYL JOHNSON SIMMONSCredential: M.D.

Location Address2012 S AUSTRIAN PINE STLockport, IL 60441-3876

Mailing Address9119s Exchange AveChicago, IL 60617-4225 · (773) 768-5000

Phone(708) 712-3802

Sole ProprietorNo

Enumeration DateApril 23, 2008

Last NPPES UpdateDecember 18, 2015

✔ NPI 1629243456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036070465

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2012 S AUSTRIAN PINE ST, Lockport, IL 60441

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerryl Simmons's NPI number?

The NPI number for Jerryl Simmons is 1629243456. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Jerryl Simmons located?

Jerryl Simmons practices at 2012 S Austrian Pine St, Lockport, IL 60441. The listed phone number is (708) 712-3802.

What is Jerryl Simmons's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jerryl Simmons was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.