Individual
DANIEL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-9000
Mailing address
DEPT 77-9131, CHICAGO, IL 60678-9131
(630) 856-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010081
IL
Other
Enumeration date
11/09/2012
Last updated
12/10/2012
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