Individual
DR. RAE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1519 W IRVING PARK RD STE 1, CHICAGO, IL 60613-2549
(773) 600-7580
Mailing address
PO BOX 180051, CHICAGO, IL 60618-0025
(773) 600-7580
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009266
IL
Other
Enumeration date
05/18/2016
Last updated
02/28/2023
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