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NPI Code Detail

MEDICARE: DR. JEFFREY WILLIAM WATKINS

MEDICARE:  DR. JEFFREY WILLIAM WATKINS
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
1213E00000XPodiatrist016004906IL
2213ES0131XFoot Surgery Podiatrist016004906IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932186566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY WILLIAM WATKINS
Provider Business Mailing Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Provider Business Practice Location Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 07/21/2020

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Directions to “ DR. JEFFREY WILLIAM WATKINS ” Practice Location

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