Organization
SKYLINE ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WATSON MD (PHYSICIAN/OWNER)
(773) 203-3894
Entity
Organization
Contact information
Practice address
10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
(708) 405-8600
Mailing address
10811 W 143RD ST STE 150, ORLAND PARK, IL 60467-1945
(708) 405-8600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285861435
NPI
IL
Enumeration date
07/31/2020
Last updated
09/22/2020
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