Doctor Name: | AMBER N WATTERS |
NPI Number: | 1508177627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036.134849 |
Business Practice Address: | 1197 Fortune Blvd Shiloh, IL - 622697377 |
Business Phone Number: | 6189975266 |
Business Fax Number: | 6189975285 |
Mailing Address: | 3408 Office Park Dr, MARION |
State: | IL |
Postal Code: | 629596477 |
Phone Number: | 6189975266 |
Fax Number: | 6189975285 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036.134849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |