Susan Watts
Registered Nurse in Lake Bluff, IL. Individual provider (NPI-1).
NPI number1508305079
StatusActive
Last updated in NPPESFeb 16, 2017
Details
- NPI
- 1508305079
- Entity type
- Individual (NPI-1)
- Name
- Susan Watts
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2017
- Last updated
- Feb 16, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041327952 | IL | Yes |
Practice location
28650 Braeloch CtLake Bluff, IL 60044-3004
Phone 847-283-9852
Mailing address
28650 Braeloch CtLake Bluff, IL 60044-3004
Is something wrong?
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Other Registered Nurse providers in Lake Bluff, IL
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