Individual
SUMMER COLLETTE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 684-5437
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-007124
IL
363LP0200X
Pediatric Nurse Practitioner
17020
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
209-007124
IL
Other
Enumeration date
01/09/2008
Last updated
10/30/2025
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