Individual
TANYA WATTS KRISTOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
0S036 CHURCH ST STE 300, WINFIELD, IL 60190-1203
(331) 732-4600
(331) 732-4602
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.153438
IL
208800000X
Urology Physician
125.071219
IL
Other
Enumeration date
06/13/2017
Last updated
09/13/2023
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