Individual
LATANJA MARIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RUSH 1653 WEST CONGRESS PKWY, ACFAC 527, CHICAGO, IL 60612-3844
(312) 942-5495
(312) 942-5727
Mailing address
RUSH 1653 W CONGRESS PKWY, CHICAGO, IL 60612-3844
(312) 942-5495
(312) 942-5727
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125057191
IL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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