Individual
JOHN WARD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7053
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036116328
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD071749L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361167328
—
IL
Enumeration date
05/24/2005
Last updated
10/28/2025
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