Individual
MICHELLE THERESA WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 W TAYLOR ST, SPH/EOHS, OCC. MED., MC 684, CHICAGO, IL 60612-4224
(312) 413-0369
Mailing address
2121 W TAYLOR ST, SPH/EOHS, OCC. MED., MC 684, CHICAGO, IL 60612-4224
(312) 413-0369
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
036-107132
IL
Other
Enumeration date
08/17/2006
Last updated
09/04/2008
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