# PODIATRY SERVICE OF AMERICA CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720501257
- **Authorized official:** DR. PAUL POTACH D.P.M. (PRESIDENT)
- **Authorized official phone:** (847) 215-1525

## Contact information

- **Practice address:** 31 W DUNDEE RD, WHEELING, IL 60090-4863
- **Practice address phone:** (847) 215-1525
- **Mailing address:** 31 WEST DUNDEE, WHEELING, IL 60090
- **Mailing address phone:** (847) 215-1525
- **Mailing address fax:** (847) 215-7682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | IL | Yes |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 08/28/2017