Individual
MRS. INGRID KERNIZAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 921-9669
Mailing address
7151 S TALMAN AVE APT 1, CHICAGO, IL 60629-2013
(773) 978-5291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009559
IL
Other
Enumeration date
10/22/2012
Last updated
10/20/2016
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