PAUL POTACH D.P.M. P.C.
Ambulatory Health at Dundee Rd, Wheeling, IL

License number
Illinois 016-004088
Category
Ambulatory Health
Type
Podiatric
Owner
Name: DR. PAUL POTACH DPM
Title: PRESIDENT
Phone: (847) 215-1525
Address
Address
31 W Dundee Rd, Wheeling, IL 60090
National Provider ID: 1336316942
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAUL POTACH D.P.M., PC

Wheeling, IL 60090

Registration:
Dec 15, 1994
State ID:
58113212
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Paul Potach,31 W Dundee, Wheeling, IL 60090 (Physical)

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