Individual
JEFF WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 W 81ST ST APT 1, BURBANK, IL 60459-1900
(708) 952-3255
Mailing address
1655 N MOZART ST APT 1, CHICAGO, IL 60647-6658
(773) 354-1219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017011
IL
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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