Individual
DR. JEFFREY WILLIAM WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3086
Mailing address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3085
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004906
IL
213ES0131X
Foot Surgery Podiatrist
Primary
016004906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004906
—
IL
Enumeration date
12/23/2005
Last updated
07/21/2020
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