Individual
DR. JUBA WATTS-CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
(773) 388-1600
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
(773) 388-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.161561
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036161561
—
IL
Enumeration date
05/13/2019
Last updated
09/12/2022
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