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Individual

JONATHAN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
(708) 405-8600
Mailing address
10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
(708) 405-8600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036141376
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036141376
IL

Other

Enumeration date
06/15/2009
Last updated
12/22/2021
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