MICHELLE THERESA WATTERS (NPI# 1033222542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033222542 |
| Entity Type | Individual |
| Full Name | MICHELLE THERESA WATTERS |
| Credential | MD |
| Practice Address |
2121 W Taylor St Sph/eohs, Occ. Med., Mc 684 Chicago IL 60612-4224 |
| Practice Telephone | 3124130369 |
| Mailing Telephone | 3124130369 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
036-107132 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124468707 | Michelle Watters | Pharmacist | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2013-06-27 |
| 1497704282 | Michelle Marie Watters | Counselor | 200 Mercy Drive, Suite 200, Dubuque, IA 52001 | 2006-05-09 |
| Street Address |
2121 W TAYLOR ST SPH/EOHS, OCC. MED., MC 684 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114299476 | Martin W Harrison | Preventive Medicine | 1318 W Catalpa Ave, Chicago, IL 60640-1317 | 2012-02-02 |
| 1437451374 | Maria Rosa | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-11-29 |
| 1841317195 | Rolando M Garces | Preventive Medicine | 3145 S Ashland, Suite 110, Chicago, IL 60608-1318 | 2007-03-23 |
| 1811014228 | William J Lopez | Preventive Medicine | 900 E 103rd St, Chicago, IL 60628-3033 | 2007-03-23 |
| 1871606350 | Joye L Holmes | Preventive Medicine | O'hare Airport,,touhy and Mt Prospect Road, Gem Building, First Floor, Chicago, IL 60666 | 2006-08-17 |
| 1013313360 | Healtstat On-site Clinic Polsinelli Chicago Il | Preventive Medicine | 161 N Clark St, Suite 4200, Chicago, IL 60601-3206 | 2014-11-14 |
| 1376889501 | Harold T Pye Md Ltd | Preventive Medicine | 11012 S Western Ave, Chicago, IL 60643-3928 | 2012-12-16 |
| 1306133731 | Prathima Nagireddy | Preventive Medicine | 1969 W Ogden Ave, Chicago, IL 60612 | 2011-07-06 |
| 1669599668 | Bryan J Carlson | Preventive Medicine | 2400 N Sheffield Ave, Chicago, IL 60614-2215 | 2007-03-23 |
| 1699878470 | Katherine Duvall | Preventive Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-09-06 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.