Tabitha A Watts Md Ltd

LBN: Tabitha A Watts Md Ltd
Tabitha A Watts Md Ltd is an health care organization with primary practice located at 6545 Cermak Rd , Berwyn IL 60402-2313. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Tabitha A Watts Md Ltd can be contacted via phone (708) 788-0077, or through Watts, Tabitha A via phone (708) 788-0077.

Contact Information

Primary practice address
6545 Cermak Rd Berwyn IL 60402-2313
Phone: (708) 788-0077
Fax: (708) 788-5620
Website:
Map and Directions
Authorized official contact:
Name: Watts, Tabitha A Doctor of Medicine (MD)
Phone: (708) 788-0077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-108494 Illinois

Profile Details

NPI number 1750617908
LBN Legal business name Tabitha A Watts Md Ltd
DBA Doing business as
Authorized official Watts, Tabitha A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750617908 NPPES
Illinois MEDICAID 036108494

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