# WATERMARK PHYSICIAN SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922068477
- **Authorized official:** MS. HAYDEE REYES (MANAGER)
- **Authorized official phone:** (708) 783-2410

## Contact information

- **Practice address:** 7222 W CERMAK RD, SUITE 301, NORTH RIVERSIDE, IL 60546-1422
- **Practice address phone:** (708) 783-2410
- **Practice address fax:** (708) 783-2452
- **Mailing address:** 7222 W CERMAK RD, SUITE 301, NORTH RIVERSIDE, IL 60546-1422
- **Mailing address phone:** (708) 783-2410
- **Mailing address fax:** (708) 783-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 08/22/2020
