DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ERNEST I. WATANABE, O.D. LTD.

MEDICARE: ERNEST I. WATANABE, O.D. LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center046006692IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1046006692OTHERILIL STATE LICENSE
21053488569OTHERINDIVIDUAL NPI #

General Provider Information

NPI Number : 1285818120
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERNEST I. WATANABE, O.D. LTD.
Provider Business Mailing Address
First Line : 1108 W GRANVILLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-2013
Country : US
Telephone Number : 773-465-6660
Fax Number : 773-274-8222
Provider Business Practice Location Address
First Line : 1108 W GRANVILLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-2013
Country : US
Telephone Number : 773-465-6660
Fax Number : 773-274-8222
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERNEST ISAMU WATANABE
Credential : O.D.
Telephone Number : 773-465-6660
Provider Enumeration Date : 12/27/2007
Last Update Date : 09/09/2008

Similar Medicare Providers

1053488569 — DR. ERNEST ISAMU WATANABE O.D.
Practice Location Address:
1108 W GRANVILLE AVE
CHICAGO, IL
60660-2013
Practice Phone: 773-465-6660
Practice Fax: 773-274-8222
1902108913 — MISS SARA ELIZABETH ADAMS ANP
Practice Location Address:
1130 W GRANVILLE AVE
CHICAGO, IL
60660-2013
Practice Phone: 773-784-6682
Practice Fax:
1093107989 — CHICAGO SPORTS MEDICINE LLC
Practice Location Address:
1130 W GRANVILLE AVE
CHICAGO, IL
60660-2013
Practice Phone: 773-784-6682
Practice Fax: 773-784-5735
1053145888 — MED PSYCHE LLC
Practice Location Address:
1108 W GRANVILLE AVE
CHICAGO, IL
60660-2013
Practice Phone: 312-912-3444
Practice Fax:
1205837820 — BECKER PROFESSIONAL PHARMACY INC
Practice Location Address:
4744 N WESTERN AVE
CHICAGO, IL
60625-2013
Practice Phone: 773-561-4486
Practice Fax: 773-334-3162
1962485151 — HOME CARE PLUS INC
Practice Location Address:
4744 N WESTERN AVE
CHICAGO, IL
60625-2013
Practice Phone: 773-267-5123
Practice Fax: 872-806-2867

Directions to “ERNEST I. WATANABE, O.D. LTD. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.