NPI 1003418823
Paul Potach D.P.M.,p.C.
Practice location
- Address
- 3100 Oak Park Ave, Berwyn, IL 60402-3291
- Phone
- (708) 484-3338
- Fax
- (708) 484-2059
- Mailing address
- 3100 South Oak Park Ave, Berwyn, IL 60402
Authorised official
- Name
- Paul Potach
- Title
- Owner
- Phone
- (708) 484-3338
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1003418823
- Entity type
- Organization
- NPI issued
- 16 Nov 2020
- Record last updated
- 16 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.