Individual
MRS. LAURA ANN TEVEN-WATKINSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(847) 838-7769
Mailing address
719 CAMERON DR, ANTIOCH, IL 60002-1102
(847) 838-5162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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