Organization
WATERTOWER CLINIC 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, SUITE 948E, CHICAGO, IL 60611-2252
(312) 654-2154
(312) 867-7841
Mailing address
845 N MICHIGAN AVE, SUITE 948E, CHICAGO, IL 60611-2252
(312) 654-2154
(312) 867-7841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-066567
IL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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