Shannon Watley, DO Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Crystal Lake, IL
- NPI
- 1205821121
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 036106885 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-09-16
- Last updated
- 2026-06-01
Practice location
360 Station Drive, 3rd Floor
Crystal Lake, IL 60014-6260
(815) 477-2310