Individual
DR. CATHLEEN M. WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
(847) 570-2921
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036070403
IL
207R00000X
Internal Medicine Physician
036070403
IL
208VP0014X
Interventional Pain Medicine Physician
036070403
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070403
—
IL
Enumeration date
08/12/2006
Last updated
10/18/2018
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