MEDICARE: MRS. ERIN WATTS

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
1	1041S0200X	School Social Worker		IL

General Provider Information

NPI Number	:	1851264493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN WATTS

Provider Business Mailing Address
First Line	:	200 S CHICAGO ST
Second Line	:
City	:	MILFORD
State	:	IL
Zip	:	60953-1234
Country	:	US
Telephone Number	:	815-889-1579
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S CHICAGO ST
Second Line	:
City	:	MILFORD
State	:	IL
Zip	:	60953-1234
Country	:	US
Telephone Number	:	815-889-1579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ MRS. ERIN WATTS ” Practice Location

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