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Organization
EASTSIDE HEALTHCARE OF CHICAGO HEIGHTS SC
Active
Organization
EASTSIDE HEALTHCARE OF CHICAGO HEIGHTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C WATKINS JR MD (PRESIDENT)
(708) 757-3383
Entity
Organization
Contact information
Practice address
2555 LINCOLN HWY, SUITE 206, OLYMPIA FIELDS, IL 60461-1936
(708) 757-3383
(708) 757-3386
Mailing address
2555 LINCOLN HWY, SUITE 206, OLYMPIA FIELDS, IL 60461-1936
(708) 757-3383
(708) 757-3386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045969
—
IL
Enumeration date
08/31/2006
Last updated
12/10/2016
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