TABITHA WATTS MD LTD
NPI 1972870574
Clinic/Center in Chicago, IL

Active since November 27, 2011
4177 S ARCHER AVE, CHICAGO, IL 60632(773) 932-1142(773) 902-1104 Get Directions Write a Review

NPPES record last updated: November 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About TABITHA WATTS MD LTD

This page provides the complete NPI Profile along with additional information for Tabitha Watts Md Ltd, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1972870574 assigned on November 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Tabitha Ann Watts M.d. (President)

NPI
1972870574 Verify this NPI
Provider Name
TABITHA WATTS MD LTD
Entity Type
Organization
Location Address
4177 S ARCHER AVE CHICAGO, IL 60632
Location Phone
(773) 932-1142
Location Fax
(773) 902-1104
Mailing Address
PO BOX 4645 CHICAGO, IL 60680
Mailing Phone
(773) 932-1142
Mailing Fax
(312) 264-0662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2011
Last Update Date
11-27-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TABITHA ANN WATTS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(312) 451-5695

Reviews for TABITHA WATTS MD LTD

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Chiropractor
4177 S ARCHER AVE
CHICAGO, IL 60632
Chiropractor
4177 S ARCHER AVE
CHICAGO, IL 60632
Family Medicine
4177 S ARCHER AVE
CHICAGO, IL 60632
Nurse Practitioner (Family)
4177 S ARCHER AVE
CHICAGO, IL 60632
Nurse Practitioner (Adult Health)
4177 S ARCHER AVE
CHICAGO, IL 60632
Physician Assistant
4177 S ARCHER AVE
CHICAGO, IL 60632
Nurse Practitioner (Family)
4177 S ARCHER AVE
CHICAGO, IL 60632
Clinic/Center (Multi-Specialty)
4177 S ARCHER AVE
CHICAGO, IL 60632
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4177 S ARCHER AVE
CHICAGO, IL 60632
Nurse Practitioner (Family)
4177 S ARCHER AVE
CHICAGO, IL 60632
Family Medicine
4177 S ARCHER AVE
CHICAGO, IL 60632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972870574, enumerated as an "organization" on November 27, 2011.

The provider is located at 4177 S ARCHER AVE CHICAGO, IL 60632 and the phone number is (773) 932-1142.

Clinic/Center with taxonomy code 261Q00000X.