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Organization

WATERTOWER ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY TIMM (DIRECTOR OF OPERATIONS)
(312) 654-2154
Entity
Organization

Contact information

Practice address
845 N MICHIGAN AVE, CHICAGO, IL 60611-2252
(312) 654-2154
(312) 867-7841
Mailing address
845 N MICHIGAN AVE, CHICAGO, IL 60611-2252
(312) 654-2154
(312) 867-7841

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036066567
IL

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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