SearchIllinois222Q00000X

Shayna Watkins

NPI 1376952432 · on the registry since 2014 · sole proprietor

Practice

Address
1390 Forest Ave
Calumet City, IL 60409
Phone
(708) 275-8657

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-03

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