JERMAINE DALE WATSON (NPI# 1528532959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528532959 |
| Entity Type | Individual |
| Full Name | JERMAINE DALE WATSON |
| Practice Address |
6833 S Claremont Ave Chicago IL 60636-3138 |
| Mailing Address |
10812 S 76th Ave Apt 3s Worth IL 60482-1061 |
| Practice Telephone | 7083687010 |
| Mailing Telephone | 7089856159 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | L34073286149 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285145748 | Jermaine Andre Watson Sr. | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2017-10-23 |
| Street Address |
6833 S CLAREMONT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60636-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326512567 | Rashaun Little | Driver | 6833 S Claremont Ave, Chicago, IL 60636-3138 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438742 | Habilitative Systems, Inc. | Case Management | 6845 S Western Ave, Chicago, IL 60636 | 2014-05-05 |
| 1346505286 | Sneha Abichandani | Pediatrics | 5843 South Western, Chicago, IL 60636 | 2012-07-06 |
| 1972812501 | Westwood Medical Ceter Inc | Surgery | 6326 S. Ashland Avenue, Chicago, IL 60636 | 2010-09-30 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1295966562 | Carla Maria Lennan | Durable Medical Equipment & Medical Supplies | 6343 S. Western, Chicago, IL 60636 | 2009-08-04 |
| 1083826507 | Devere J Herron | Dentist | 7203 South Western Avenue, Chicago, IL 60636 | 2007-05-04 |
| 1427155910 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1620 West 59th St, Chicago, IL 60636 | 2006-09-19 |
| 1023031473 | J &j Pharmacy Ltd. | Pharmacist | 2001 W 69th Street, Clinic Pharmacy, Chicago, IL 60636 | 2006-07-26 |
| 1831169218 | Michael A. Luckett, Dmd & Associates (western | Dentist | 6153 South Western Avenue, Chicago, IL 60636 | 2006-01-26 |
| 1457330870 | Friend Family Health Center, Inc | Clinic/Center | 5843 S. Western Avenue, Chicago, IL 60636 | 2006-01-13 |
| Find all providers in zip 60636 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
| 1538725098 | Tempes L Halley | Driver | 8255 S Commercial Ave Apt 2r, Chicago, IL 60617-2103 | 2019-05-10 |
| 1649737933 | Lakesha Catrice Spivey | Driver | 7829 S Peoria St Ste 1, Chicago, IL 60620-2827 | 2019-02-22 |
| 1578027942 | Gwendolyn Haynes | Driver | 7629 S Hoyne Ave, Chicago, IL 60620-5738 | 2019-01-30 |
| 1013492925 | Clement R Ajayi Sr. | Driver | 7618 S Coles Ave, Chicago, IL 60649-4325 | 2018-09-26 |
| 1063904639 | Aina Adedoyin Adegbemi | Driver | 3118 W Devon Ave Apt 1e, Chicago, IL 60659-1458 | 2018-05-30 |
| 1760970883 | Lonnie Crawford | Driver | 1019 N Menard Ave, Chicago, IL 60651-2665 | 2018-04-24 |
| 1841799525 | Melvin Gallegos | Driver | 3018 S Spaulding Ave, Chicago, IL 60623-4747 | 2018-02-07 |
| 1245748425 | Sebastian Ekesa | Driver | 5321 N Winthrop Ave Fl 1, Chicago, IL 60640-2309 | 2018-01-22 |
| 1427561331 | Daryle Lewis | Driver | 8610 S Morgan St, Chicago, IL 60620-3248 | 2017-11-14 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.