Individual
ANGEL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1179
(708) 898-0811
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022047
IL
363LF0000X
Family Nurse Practitioner
F07151215
IN
Other
Enumeration date
11/17/2015
Last updated
10/21/2020
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