Thaddeus Patrick Waters MD

NPI 1912102229 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1912102229
Gender Male
Enumeration Date 06/18/2007
Last Updated 09/09/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2160 S 1ST AVE
LOYOLA UNIVERSITY MEDICAL CNTR - DEPT OBGYN
MAYWOOD IL, 60153-3328, US
Phone (708) 216-4033
Fax
Business Location
3010 W NEWPORT AVE
CHICAGO IL, 60618-4356, US
Phone (708) 216-5459
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Ohio
License Number 35089915
Remove 1912102229 NPI Number
 

According to our database, Thaddeus Patrick Waters MD NPI is 1912102229, taxonomy code is 207V00000X and license number is 35089915, license state is located at Ohio. Thaddeus Patrick Waters MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Thaddeus Patrick Waters MD has the Individual type.

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1912102229 NPI number is provided on an as is basis without warranty of any kind. 1912102229 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddeus Patrick Waters MD are for informational purposes only.