Individual
DR. ARTELIO L WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7531 S STONY ISLAND AVE, 166A, CHICAGO, IL 60649-3954
(773) 947-7530
(773) 947-7532
Mailing address
836 S ARLINGTON HEIGHTS RD, 318, ELK GROVE VILLAGE, IL 60007-3667
(847) 303-0701
(847) 303-0709
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036112663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112663
—
IL
Enumeration date
08/28/2006
Last updated
10/31/2012
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