Watertower Clinic Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-066567 Issued in IL

Legal business name

WATERTOWER CLINIC ASSOCIATES

Practice address

845 N Michigan Ave
Suite 948E
Chicago, IL 60611-2252

Phone

(312) 654-2154

Fax

(312) 867-7841

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy Timm

Title

Director of Operations

Phone

(312) 654-2154

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1760638605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 948E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-654-2154",
            "fax_number": "312-867-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 948E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-654-2154",
            "fax_number": "312-867-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWER CLINIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "312-654-2154"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-066567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Waters
• Patrick William Waters, PHARM.D.
• Tashauna Waters
• Theresa Latisha Waters
• Watertower Associates
• Watertower Clinic Associates LTD
• Watertower Lab Serives LLC
• Watertower Lab Services LLC
• Alanna Marie Dyko Wathen, DPT
• Sarah Cunningham Watkin, LCSW

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.