# SKYLINE ORTHOPEDICS, LLC

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

## Provider details

- **NPI number:** 1962012344
- **Authorized official:** DR. JONATHAN WATSON MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (773) 203-3894

## Contact information

- **Practice address:** 10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
- **Practice address phone:** (708) 405-8600
- **Mailing address:** 10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
- **Mailing address phone:** (708) 405-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 09/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285861435 | NPI | IL |