Search › Illinois › 207V00000X
Shannon Watley, DO
NPI 1205821121 · on the registry since 2005
Practice
- Address
- 360 Station Drive
3rd Floor
Crystal Lake, IL 60014 - Phone
- (815) 477-2310
- Fax
- (815) 356-2335
- Organisation at this address
- Carol Kotzan Md Llc
Marathon Health, Llc
Integrated Care Inc.
Marathon Health, Llc
Antonio C Yuk, Md, ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 1045 W Stephenson St, Freeport, IL
- 1045 W Stephenson St, Freeport, IL
- 1000 Health Center Dr, Mattoon, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois