IndividualActive
John Watson, MD
NPI 1396770087 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Springfield, IL
Provider details
- NPI number
- 1396770087
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036119109 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9247
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9469
Springfield, IL 62791-9469
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2020-04-13
- Certified
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.