Active NPI
Jean M Watson
- Infection Control Registered Nurse
- Hazel Crest, IL
National Provider Identifier
1518743277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infection Control Registered Nurse
- License
- 041.439505
- Practice address
- 17800 S. Kedzie
Hazel Crest, IL 60429 - Phone
- (708) 213-3288
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infection Control Registered Nurse | 163WI0600X | 041.439505 | IL | Primary |
Addresses
Primary practice location
17800 S. Kedzie
Hazel Crest, IL 60429
Mailing address
19501 Maurita CT
Mokena, IL 60448
Phone (708) 214-6368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.439505 | IL | MD | Infection Control Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1518743277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19501 MAURITA CT",
"city": "MOKENA",
"state": "IL",
"postal_code": "60448",
"telephone_number": "708-214-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 S. KEDZIE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "60429",
"telephone_number": "708-213-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JEAN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "IL",
"license": "041.439505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.