Individual
THOMAS GEORGE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4711 GOLF RD STE 1250, SKOKIE, IL 60076-1232
(847) 235-6103
Mailing address
9223 S HARDING AVE, EVERGREEN PARK, IL 60805-1440
(708) 673-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.428148
IL
363L00000X
Nurse Practitioner
Primary
209.018870
IL
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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