Watermark Physician Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WATERMARK PHYSICIAN SERVICES

Practice address

7222 W Cermak Rd
Suite 301
North Riverside, IL 60546-1422

Phone

(708) 783-2410

Fax

(708) 783-2452

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Haydee Reyes

Title

Manager

Phone

(708) 783-2410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922068477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "address_2": "SUITE 301",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-783-2410",
            "fax_number": "708-783-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "address_2": "SUITE 301",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-783-2410",
            "fax_number": "708-783-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "HAYDEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-783-2410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kathleen Velez
• Village of North Riverside
• Villasenor Dental Care, P. C.
• Daniel W Vittum, MD
• Damen Ward
• Cheryl Kraemer Weber, MSW, LCSW
• Lashannon Arneisha Wells
• Karen Gay Wenberg, COTA
• Robert Whelan, DPT
• Abigail Rose Willinger, DOT

• Clinic/Center in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.