Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerryl Johnson Simmons, MD

Individual provider Pediatrics Physician · NPI 1629243456

Jerryl Johnson Simmons, MD is a Pediatrics Physician in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2012 S Austrian Pine St
Lockport, IL 60441-3876
Phone: (708) 712-3802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036070465 (IL)

Record details

NPI number1629243456
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESDecember 18, 2015
Mailing address9119s Exchange Ave, Chicago, IL 60617-4225

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