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

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