PAUL POTACH D.P.M. P.C. NPI 1336316942

NPI Information

NPI: 1336316942
Provider Name: PAUL POTACH D.P.M. P.C.

Doing Business As: DUNDEE FOOT & ANKLE CENTER

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
31 W DUNDEE RD
WHEELING, IL
ZIP 60090
Phone: (847) 215-1525
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PAUL POTACH D.P.M. P.C. is a podiatric clinic center in Wheeling, IL. PAUL POTACH D.P.M. P.C. NPI is 1336316942. The provider is registered as an organization entity type.
The provider Is Doing Business As Dundee Foot & Ankle Center.

The provider's business location address is:

31 W DUNDEE RD
WHEELING, IL
ZIP 60090-863
Phone: (847) 215-1525

The provider's authorized official is Paul Potach .
The authorized official title is President and has the following contact phone number (847) 215-1525.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 9/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	016-004088	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	774900	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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