Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keisha Watts-Parks, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1174270649

Keisha Watts-Parks, PHYSICIANASSISTANT is a Physician Assistant in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008825 (IL)

Record details

NPI number1174270649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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