Individual
DEON SHERE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2850 W 95TH ST, SUITE 301, EVERGREEN PARK, IL 60805-2735
(708) 389-2200
Mailing address
22412 PLUM CREEK DR, SAUK VILLAGE, IL 60411-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041336954
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209011617
IL
Other
Enumeration date
08/12/2014
Last updated
07/21/2024
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