Basic Information
| Provider Information | |||||||||
| NPI: | 1073627410 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POTACH | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 WEST DUNDEE | ||||||||
| Address2: | |||||||||
| City: | WHEELING | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472151525 | ||||||||
| FaxNumber: | 8472157682 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 WEST DUNDEE | ||||||||
| Address2: | |||||||||
| City: | WHEELING | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472151525 | ||||||||
| FaxNumber: | 8472157682 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 10/16/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 016004088 | IL | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.